HomeMy WebLinkAboutSub-Contractor AgreementPERMIT #
COUNTY
FLO R 1 ,D A
/-
FL
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREE
DEC ®�
ST. Lucie County, _permftting
(Company Name/I ivid t Name) have agreed to be
the f Cal _ Sub -contractor for
(Type of Trade) � fM S fowlo T
(Primary Contractor)
For the project located at _ S':49 SG n RV1„Q &_p , - L
(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 (Qualilier)
PRINT NAME A-daa)j
��F
COUNTY CERTIFICATION NUMBER
State of Florida, County of 6 ¢ k .0 e
The foregoing instrument was signed before me this 14 day of
3O—Ubyy .4 ji 11;Q Yt din d .Jn/Y1 S
who is persona y -n �" or has produced a
as identification.
Signature of Notary Public STAMP
Print Name of Notary Public
_;*^''•�a�� PATRICIA ANN GRIFFIN
'- MY COMMISSION # GG137624
'Fatd' EXPIRES September26, 2021
Revised 11/16/2016
-C RA TOR SIGNATURE (Qualiricry
PRINT NANtE
Q LtSS 0
COUNTY CURL IFICAT ON NUMBER
State of Florida, County of Q F C(C4{
The foregoing instrument vas signed before me this (
dayof
�Obeil f1 C�V' �lISSIJ
who is persodall vn �or has produced a
as identification.
signature of Votary Public STAMP
Prtnt Name oN otry Publt c4
;�o�►"�'de`n= PATRICIA ANN GRIFFIN
g; MY COMMISSION # GG137624
'•','�;o;p d;°' EXPIRES September 26, 2021
PERMIT Al
_couT.,: .
ISSUE DATE
PLANN[NG & DEVELOPMENT SERVICES
Building &Code. Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sr4 M I Al 17 Qc='ti.1 S l
tt_:ompany Nattae/Ind` 'd I
Ivl ua Name)
the P` lA "N
(Type of Trade) }---Sub-contractor for
For the project located at
OE 0 8 C. -
ST, Lucie County, permi
tting
have agreed to be
Adams Homes of Nofttweat Modda- try
(Prirna'y Contractor)
(Project Street Address or Property Tax ID #)
L
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
filing of a Change of Sub -contractor notice.
CO R SIGNATURE (Qualifier)
Mama Hanes of Nofttrest ROrtda, br-
P—I NAME
COUNTY CERTffICAT10N
State of Florida, County q
The foregoing instrument was signed before me this q day of
Q C 'zole) by William Bryan Adams
who is personally known or has produced a
as identification.
tv�e otNvtarri'utiiie STAMP
SHELLEYA. SEPUI_VEDA
Print Name of Notary Public
SHELLEYA. SEPULVEDA
MY COMMISSION # GG 262074
a = EXPIRES: January 25, 2023
~•°F Bvided mn, Notary PuNc Undawritn
Revised 111161:
Lucie County will be advised pursuant to the
SUB CONT SIGNATURE (Qu.1 fie,)
PR`f�Jl--'VJ�/� � � ry e' J�
as
COUNTY CERTQ (CATION NUMBER
State of Florida, Co,unry or 3'r. u_.-ae
The foregoing Insirumeor was signed before me this day of
k C 20& by Yl�a.t✓11r, l�i•'�f vs�L
who is personally "own ✓ ar has produced a
as ideo6ficatioo.
l lO'/(In.D STAMP
Sigoolure of Notary public
prc h,sC q
Pnot Name of Notarypy tic
P;a�•., RICHARD DOUGtAS JOHNSON
?: `�•�� = Nolary Public - Slale of Florida
Commission # GG 084821
e'
ISM., ., My Comm Expires Mar 20, 2021
Banded mrougn Nalianel NolaryAssn.
k,CTU.
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Name)
BUILDING PERR4IT
SUB -CONTRACTOR AGREE
DECO g �r.7
ST. Lucie County, permitting
have agreed to be
the Rooting Sub -contractor for Adams Homes of Northwest Florida, INC
(Tyne of Trade)
(Primary Contractor.)
For the project located at �K ri n tA)_Qn _ CU
(Project Street Address or ProperiyTax tD #)
L.
Lt is understood that, if there is any change of statics regarding our participation with the above mentioned
project, the Building and Code Regiilation Division of St. Lucie County will be advised pursuant to the
filing of a. Change of Sub -contractor notice.
CONTRACT e �s (Qirilificr) '
William Bryan Adams
1'RINTNAME _
COUNTY CERTIFICATION NU WIER
State of Florida, County of St. Lucie
The foregoing Instrument was signed before tnc this day of
C _ lit 'MY William Bryan Adams
who is persomdly knots'n -1-or bus produced d _
as
Identification.
J1 ' I� STAMP
Signature of NotaryPublic
flofl- ncr h (Moo U
PrmtName or Notary Public .
.4PP Notary Public State of Flprida
Hannah E Moore
,per My COmmi981pn HH 017099
Revised II/]W2t116 �7OFIN Expires07/01/2024
SUiI-CUNTRAC'f IGNATURI ualifier)
4 -,Qfc( Q_ �Picctc�
PRINT NAME
COUNTY CERT1 -(CATION NUMBER
State of Florida, County of St Lucie
'rlic foregoing instrument was signed before me tills day of
who Is personally known -A —or has produced a
as identification.
S"rA11P
Signature of Notary Public
Print Name of Notary Public
L%OpExpires
Notary Pub State of F�pnda
Hannah E Moore
My Commtasion HH 017089 07/01/2024
PERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Divisio:�! Q� �----
SUB -CONTRACTOR PERMIT (
AGREEMENT
L�-Lucie
Cou_t!1 Permitting
AAPEX Electric
(Company Name/ individual Name) - .._..have agreed to be
the Electric
-—...___ Sub -contractor for Adams Homes of Northwest FL, INC
(Type of Trade)--"—'
(Primary Contractor) —
For the project located at _S �j y 9 SG n - fifi�
(Project Street Address or Property Tax ID x)
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.
TRAC'r0lL SIGNATURE
W.' Bryan_ Adams
PRINT NAM11E ------•
29179
COUNTY CERTIFICATION NUM1trSER
State of Florida, County or St Lucie `j'� The foregoing instrument was signed before me this Y day of
01 C zouby W- Bryan Adams
who is personally known —.or has produced a
as identification. �n n
Sign lure of Nalary Public
nnalo wlooY�
Print Name of Notary Public
SUBCONTRACTOR SIGNATURE
- ......
(QualificrJ .." _.
PRINT NAME " •-•---• —..
C Y CER7lFfCATTON NIJMgER -
Statc of Florida, County of �A.;e_ j The
1ffooregoing instrument was signed before me this 't da�-or
`--. 20 t�PbyN-
who ;s personally known -V__or has produced a
as identification.
STAMP 2o4gYPoeJAXELHARNER
�i2ture of Notary Public r * MY CUMMON a GG 0891Z2
`o3, EYPIRE S-April 2.2021
jFor l°� Bonded Th% 9udret Notary Services
n' nt Name or (votary Pu uc —
�� Notary Public State of Plpnda
Hannah E Moore
OF
Revisal 11 16/2016 v MY Commission HH 017099
AP
Expires 07/01/2024