HomeMy WebLinkAboutSub-Contractor AgreementF-
PERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
® - Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
i'1 S+A M i n/ l7 R.t'ti J S I I �''t� "J
(f om an Na R d'
(--AIv SaqJ1e'-C
P y me n Ivtdual Name)
the PI l(rnh N
(Type or Trade) Sub -contractor for
For the project located at
54q� lac
(Project Street Address or
�t
NC.. have agreed to be
Adam iionm of Nort3miag PWide it>G
(Primary Contractor)
Tax ID #)
IL
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 aChange of Sub -contractor notice.
CO R SIGNATURE (Qualifier)
Adwm Homes of N"West ROftde, hit
PRINT NAME
COUNTY CERTffICAT[ON&iE_�
State of Florida, County�J The foregoing instrument was signed before me this day of
QC 201& by William Adams
who is personally knowo or bas produced a
as identiricatioo.
��' a of N��7^Putili a STAMP
SHELLEYA. SEPIII_VEDA
Print Name of Notary Public
Ei_--..-
SHELLEYA.SEPULVEDAMY COMMISSION # GG 262074EXPIRES: January 25, 2023 Bonded Thru Notary Public UridawrilersRevised 11/16/20
SUB-CONT
SIGNATURE (Qualfier)
P U1I NAME
COUNTY CER I Q•'ICATION NUMBER
State of Florida, Co•uoty or 3-V L'XA ' e
The foregoing Inslrumcot was signed before me this 2 day of
C fi 2 1k by
� �")\✓Ys'e,Nt✓Z
who is persooally known ✓ or has produced a
as identification.
/)IQJ STAMP
Sigoalure of Notary Public
ib1 nt'd 'Q6_gt0,T t7ohv+SU'1
Prtot Name of Notary rb*.b lie
' •
r• �•• '
RICHARD DOUGLAS JOHNSON
Notary Public - Slale of Florida
Commission # GG 084821
•
va of r�nP :
My Comm Expires Mar 20. 2021
••••••
Bonded Waugh National Nalary Assn.
r
PLANNING & DEVELOPMENT SERVICES
J I Building & Code Compliance Division
p
•, `i BUILDING PERNllt
SUB=CONTRACTOR AGREENIENT
C1UyT1t�Q have agreed. to be
(Company Name Individual Name) �
the Roofing Sub -contractor for Adams Homes of Northwest Florida, INC
(Type oPTrade)
(Pritnagr Contractor)
For the project located at _q `A1 I U Q u 51
(Project Street Address or Prolierty 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
fling of a Change of Sub -contractor notice.
CONTRAC"r r : (Qintiifier) -�
William Bryan Adams
PRINI'NANIE ---
COUNTY CERTIFICATION NUMBER
State of Florida, County of St. Lucie
The foregoing Instrument was signed before me this -I— day of
William Bryan Adams
who is personally known -)Lor bus produced a
as Identification. �t.,y
Signature of No1'uhlic
ilafl nG h IMoD u
Print Name or Notary Public
'011" Notary Pubk State of Florida
Hannah E Moore
y 1.
My Commission HH 017099
Revised IIlIGr'201G Expires07/01/2024
i I -
c—
SUB-CONTRAC'r 'IGNATURI ualifier)
Jo�r4m4 bc(fl t a k c6-c.
PRINT NANTE
COUNTY CERTIFICATION NUSIBER
State of Florida, County of St Lucie
The foregoing instrument was Signed before me this Z day of
per 20ZD)ytJ o V GIr c I g N (A to
who is personally I-nosyn_x or has produced a
as identification.
(//''
SignnfureofIblic "1
fannah IM00
Print Name of Notary Public
�fVit/�y
49�" Notary Pttbk State of Flpnda
Hannah E Moore
My Commiastori HH 017099
a w Expires 07/01/2024
SUB -CONTRACTOR AGREEMENT
AAPEX Electric
(Company Name/Individual Name) - '-- have agreed to be
the Electric •
_ Sub -contractor for Adams Homes of Northwest FL, INC
(Type of Trade) Prim _
(ary Contractor) _
For the project located at a D 1 u St
(Project Street AddresA.ra perty Tax tD 4,)
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.
TRACTOR SIGNATURE (Qualifier) 13-C-0��P�,4Ci6-R--SIC,NATUR—E'—'
(Qalifier)
W. Bryan Adams
PRINT NAME - --"
29179
COUNTY CERTIF[GATION NUMBER
State of Florida, County of St Lucie
The foregoing instrument was signed before me this Z . day of
CC t 20 M, W• Bryan Adams
who is personally known __or has produced a
as identification.
A-9..ure of Notary PutiGc
Print Name of Notary Public
a
llotary PuDho State of Fiprida
Ih
Hannah E Moore
My commission HH 017099
Re16Expires 07t01l20Y4
l
PRINT NAM19E
C� Y CERTtpICgTTUN N�]ygER
State of Florida, County of -EA LI X.; e—
The foregoing instrument was signed before me this -1— Jay of
I)c-t- .zoZAby QCtIa ZCt C�(j-
who is personally known N.-or has produced a
as identification.
STAMPP. :P�ai/0 JANE L HARNER
ki2t'uPreof Notary Public *? * wY SAWN # E'C' 089122
o EXPIRES- April 2.2021
s 0�_ OFF) Bonded T'L'L Budget Notary SeMces
rci int Name of Notary he
PERMIT #
OC. NTY.
F L 0 R 1 .D A
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
t-
(Company Name/I ividual Name)
theH#chaA,r&t
(Type of Trade)
For the project located at 5� 4-
have agreed to be
Sub -contractor forn� IlirriL.LQc L F �„
(Ptunary Contractor)
u Q o St.
(Project Street Address or Prop
i dx tU ff)
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 Cou11ty will be advised pursuant t0 the
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME i�(J2.lm
- Vt?91F? _
COUNTY CERTIFICAT ION NUMBER
State of Florida, County of (af ¢ I � .
The foregoing instrument was signed before me this
day of
L OO c 201pbyA ,1 a�1iaYYl111n 4 J12a)
who is persona y •n _Zor has produced a
as identification.
_4_� Qe
Signature of Notary Public STAMP
4ti� � /� 1�1
Print Name of NotaryPublic
.>^''•�e�•. PATRICIA ANN GRIFFIN
---. 4, ." *-
MY COMMISSION # GG137624
`,• Revised I1/I6/2016 EXPIRES September 26, 2021
"F`'�
-C RA TOR S[GNA17URE
(Qualifier)
PRINT NA6 C . cLSS o
ME
COUNTY CERTIFICAT ON NUMBER
State of Florida, County ofttctt
The foregoing instrument vas signed before me this
2- day of
OC.Oh/y �I helm RUSS()
w�"Pe'-'o 11 !l vn ✓ or has produced'a
as identification.
Signature of Notary Public STAMP
intme a,fallot.ry Publi�c4�
►"""�e'' PATRICIA ANN GRIFFIN
MY COMMISSION # GG137624
EXPIRES September 26, 2021