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HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE "� PLANNING & DEVELOPMENT SERVICES o Building & Code Compliance Division _ r BUILDING PERMIT SUB -CONTRACTOR AGREEMENT (Company Name4n.dividual Name) have agreed to be the ype of Trade) V t ° Subcontractor for a� � ('T;. (Primary Contractor) ' For the project located at � (Project Street Address or Pro I O D r (7 i - � o- 1 • ptxty Tax 1 D q) It is understood that, if there is any change of status regarding our participation with the above mentioned project, the Building and Code Regulation Division of St- Lucie County will be advised pursuant to the filing of a Change of Sub -contractor notice. CO �GXA ui i er) A&M liO a 0tftmtg t Xik tr1G PRINT NAME COUNTY CEFIE T'WJ AT1ON NUM 6R State of ftrida, county The 6111e90141 Imtn—li —maned before me t►b Jday or a 20� by William Bryan q,msy who la perwnall kaowos y _ar bu produced a as IdeutlUea _ Sl�mtate "[Notary rye STAMP SHELLEY A SEPULVEQA Prtut Name of Notary P"blle !r ,: , h"• '.� l : AVenMs►EtcEra sr� mycommIsSIONRIGG252 EVIREJwwwy 25,2 iidw Ewd Thu Notary Me U tn Revised 1 III Sun i to ASU CT OR,SIGNAOTURE(Quallilk r) 1NAW �rUI ck cLnlL PRINT NAME �Grig . I, CO iTY CERTIFICATION NUMBER State of Florida, Coao:ty or t, Ge The forKaFolt lutrumeot wan Aped before oe tbtr a desY of by eor e 2 _ e� .� ic�1c S hc,• �t who b personally know" ✓or bu prad.W ■ u Ideadlicatfoo, �wo+�ara or notary Paabtic Q STAMP G►'�c.ra Dca a� to c z1ovivlcr,,., Priest Naooe of Notary PoblkJ --�'" ;2o«p °��,•• RICHARD DOUGLAS -JOHNSON NolaYPublic 1G08482ida • • '' o� COmm+ss10n0G MY COMM. Expires Mar •"""""' 20. 2021 90nded IAraigo National NalaryAssn PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES ® - Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT SO M 1 n% 17 Rc="t J S fir t^j Scaiicc-c k.- 11llany ivarpennmvidual Name) the e lA "li(U Sub -contractor for (Type of Trade) WC. have agreed to be Adams kiw= of NofUtvrest Ptorda, Irl- (Prima'ry Contractor) For the project located at (Project Street Address or Property Tax ID #) )- o i a S- 01010 -9 It is understood that, if there is any change of status regarding out participation with the above mentioned project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the filing of a Change of Sub -contractor notice. CO R SIGNATURE (Qualifier) Mama Hanes of Nofttnrest Rakt% tno. PRINT NAME COUNTY CE , , ll :1T10N NUMBER State of Florida, County guov— The foregoing instrument was signed before me this _L� day of _MOAN ZaD_ by William Bryan Adams who is personally known 0r has produced a as identificatioa. � i STAMP SHELLEYA. SEPIII_VEDA Prior Name of Notary Public +;:►":;a?V. SHELLEY& SEPULVEDA MY COMMISSION # GG 262074 EXPIRES: January 25, 2023 Bonded Thru Notary Public Undlxwigan Revised I1/16/20 SUB-CONT SIGNATURE (Qua1fier) PRuYr NAME _aGco (.o COUNTY CERTIFICATION NUMBER State of Florida, County or 3-v itJ. ae The foregoing Instrument was signed before me Ibis a day or YrN 20 by yl��ln'1��'1 ��►✓Y�i,VI'e Z, who is personally known ✓ or has produced a as identification. Qb/I�1lml,r�►+J STAMP Sigaalure of Notary Public i . Ira Q, tGs t7ohY+SG✓1 Print Name of Notary Pi► tic RICHARD DOUGLAS JOHNSON Nolary Public - Stale of Florida MYCComm. Expires Mar 20, 2021 Bonded lruougnNalianalN0laryAssn. A PERMIT # ISSUE DATE I low PLANNING & DEVELOPMENT SERVICES ]Building & Code Compliance Division ®� BUILDING PERMIT SUB -CONTRACTOR AGREEMENT an � P y NameAndividual Name) have a the (Com greed to be (Type of fade) Sub -contractor for Ad"1Jw4sotNott W*gFtoct;*bA (Primary Contractor) For the project located at �1 q (Project Street Address or Property Tax ID !�) ' ' O I °r � U " 1 It is understood that, If there is any change of status regarding our particip` anon w' project, the Building and Code Re g ulation Division of St. Lucie Count 1th the above mentioned filing of a Change of Sub -contractor notice. y Will be advised pursuant to the CONTRACTOR SICNAIUR.E (Qualifier) � Adams Hanes d N"Omtd nods. tna PRINT NgME - BOUNTY CERTIFICATIO NUM_B_ER State of Florida, County 9f T The foregoing instrument was signed before me this �QQ — �QV --- day of Z , bby Wi11=tYan dams who is personally known ✓ —or has produced a _ as identification. �Fj Signature of Nol�public���_STAMP SHELLEYA. SEPULVEDA Print Name of No SHELLEYA,SEPULVEUA = . MY COMMISSION Al GG 262074 ;�;r • '�:` EXPIRES: January 25, 2023 Bonded 7hru No tary Pubic Underwriters Revised 11 16 2016 SUB-CONTRAC R SIC A —t— RE (QuAirrer) PRINT INAW v 1�•/tlCMsG` .L 3 o ` 5 COUNTY CERTIFICATION NUMBER State or Florida,C6unryof T-L_,-tCtt✓ The foregoing instrument was signed before me this 56 day of by RX-iCi� `5 Y�lG1or who is personally known ✓or has produced a as identification. Signature of. otmy'Yubllc U . h�� STAMP f�ichar6, Dby -UchnSo t,aal Print Name of Notary PA, lic �• ^rB . -.::, .'• h�,1�,n• `. RICHARD GA or. JDHr,Sor. Nalary Public - Slate of Florida Commission p GG 094821 "' •y MY Comm Expires Mar 20. 2021 ^ E��!ed through Nalgnal Na�ary Assn PERMIT # ISSUE DA PLANNING & DEVELOPMENT SERVIC - Building & Code Compliance Division -- = BUILDING PERMIT SUB -CONTRACTOR AGREEMENT I 1 (Company NameAndividual Name) have agreed to be the e% Sub -contractor for AUM,'Hwles of NWaoffld FWAIna. ~(Type of Trade) (Primary Contractnrl' For the project located at _1) d I � �} � � � � 1 (�� � �13 � � -1 0 c)_ 01 a 5 - boo-9 (Project Street Address or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the above mentioned project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the filing of a Change of Sub -contractor notice. CONTRACTOR SIGNATURE (Qualifier) WorBtrnast 111C: PRINT NAME COUNTY CERTIFICATION B State of Florida, County o ila The foregoing Instrument was signed before me this day of rrNC>q , 2q& by William Bryan Adams I/QLirt who is personally known Zpr has produced a as d5Ideatl ,tin-) STAMP Signature of Notary Publle SHELL.EYA SEPUI_VEDA Print Name orNots .tll"t446 SHELLEY A. SEPULVEDA MY COMMISSION # GG 202074 -;V EXPIRES; January 26, 2023 '?�►!k°'' BaMedfiruNtrlaryPubkUrdworiters Revised 11116/2016 SUBCONTRACTOR SIGNATURE (Qaatlf er) PRINT NAME �— �?9 COUNTY CERTIFICATION NUMBER StateorFlorida,Coiotyof S I, Lvc1e- The foregoing ins meat was signed before me this «day of t Vy" C► by 1 4a is v K 1 who is personalty known. I or has Produced a as identification. I STAMP Signature orNoPub RIt*�AkA lbu,&.41 J0 14Soy Print Name of Kota bllc fi RICHARD DOUGLAS JOHNSON Nolary Public-Sta!eof Florida Commissio "' +AI Comm. Expires Mar 20, 2021FO1.;F; Banded guoughNationalNotaryAssn.