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.