HomeMy WebLinkAboutSub-Contractor AgreementPERMIT #
'a T. LU . 7
COUNTY
F °L G R I D A
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Complial w
)-na . AM ;
BUILDING PERMIT
SUB -CONTRACTOR AGREE IENT DEC o
ST. Lucie County, Permitting
(Company Name/I ividual Name) have agreed to be
the Hp bani,ca Sub -contractor for
(Type of Trade) "M3 A 4-S ag A(r✓i 8L Lg t L pl, TMc
(Primary Contractor)
For the project located at S L) I 1
(Project Street Address or ror
erty 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)
PRINADA MME
m�
COUNTY CERTIFICATION NUMBER
State of Florida, County of Qf �U
The foregoing instrument Was signed before me this
L ,✓ { l , ?0 li Wy ,, --.. day of
��;<✓<.J1 11 Lim
who is persona y n _ /nor has produced a
as identification. I
Signature of Notary Public STAMP
�.� ' V-' l'I
Print Name of Notary Public
PATRICIA ANN GRIFFIN
_ MY COMMISSION # GG137624
Revised 11/16/2016
;r EXPIRES September 26, 2021
� � `'
-C RA TOR SIGNATURE
(Qualifier)
0 LLSS
PRINT NANtE
COUNTY CPRTIFICATION NUMBER
State of Florida, County of , SQ7n F �c(C/
The foregoing instrument .vas signed before me this U day of
vvho is persoriall vn v or has produced a
as identification.
Signature of Notary Public STAMP
cca AH.1 �
Print Name of Notary Public
r `4 . PATRICIA ANN GRIFFIN
. MY COMMISSION # GG137624
�!��.
EXPIRES September 26, 2021
PERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICE
® - Building & Code Compliance Division
BUILDING PERMIT t
SUB -CONTRACTOR AGREEMENT
M 14 17 S 1 I�'►��
(Company Narpe/Individual Name)
the PI u" N
_ Sub -contractor for
(Type of Trade)
� IZtio 1^i S ciW (ctL—S
For the project lopated at
(Project Street Address or
Gt
0
f
DEC 0
ST. Lucie County Permitting
have agreed to be
Adana Homes of Nmttwest t M& tt>G
(Primary Contractor)
My 1 ax ID N)
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 R SIGNATURE (Qualifier)
Mama Homes of Norttlwest Sortda, h►a
PRINT NAME
COUNTY CERTlFICATIONq—
Stalc of Florida, County
The roregoiog instrument was signed berore me this LL day or
D'- ( 21t_ by William Bryan Adams
who is personally known or has produced a
as identification.
'""'1a* Ttili c STAMP
SHELLEYA. SEPULVEDA
Print Name .[Notary Public
;+;�!"'•ayc: SHELLEYA.SEPULVEDA
MY COMMISSION # GG 262074
EXPIRES: January 25, 2023
"'Fa, tin Banded Thru Notary PWAc Underwfitm
Revised II/16/20
SU&CONY SIGNATURE (Qua1fier)
PRINT NAMI
COUNTY CERTIFICATION NUMBER
State of Florida, County or 3*T- U-A '(.fie,
The foregoing laslrumec�ott was signed before me [his -1 day of
IJt 2Oltby�leatM1' n l�s✓v,%i_4nf7
who is persaaally known ✓ or has produced a
as identification.
Sinngoalure o[Notary Public STAMP
i cay'y- a vC -cyttz uc> hnSC✓1
Print Name of Notary P lic
?: `�•��
RICHARD DOUGLAS JOHNSON
Notary Public- Stale of Florida
Commission # GG 084821
o-
oc coo„
My Comm Expires Mar 20, 2021
••
BondedlhtoughNAOMINolaryAssn.
+�j 5 t �.4:'. Y �. v
PLANNING & DEVELOPMENT SERVICES
,� Building & Code Compliance Division
BUILDING PERNUT
SUB -CONTRACTOR AGREEMENT
ST. Lucie County, Permitting
have.<agreed to be
the Rooting _ Sub -contractor for Adams Homes of -Northwest Florida, INC
(Type of Trade) _ (Primary Contractor.)
For the project located at
(Project Street Address or iqoperty Tax ID
It is understood that, if there is any chanbe of status regarding our particitiatiod 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 Seib -contractor notice.
CONTRAC'J' r ; ((lnatiticr)
William Bryan Adams
'RINi` NANIE
COUNTY CERTIRCATION NUMBER
State of Florida, Counnv of St. -.Lucie
fhc fm ci;oing Instrument �rrnhls signed before me this day oC
-e zo �lA�r William Bryan Adams
who is personally known _)Lor has produced u
as Identification. WD
(NWUU-k
Signature of Notary Public
Print Nanie ofNotary Public
�.40 Notary Public State of Florida
Hannah E Moore
p� My Comrntsiim HH 017099
Revised 11116/2016 OF pd' Expires 07/0172024
SUB-CON`7'RAC:'f IGNATU ualificr)
gNqk�_
PRINT NAME
COUNTY CERT114CATION NUMBER
State of Florida, County of St Lucie �f
The foregoing instrument was signed before me. this r rydar• of r,
1�NC ,2(1�bytJoVann\� �ylyc� VI N(Atq
who is personally knownor has produced a
as identification.
QM .A0." STAMP
Signature of Notary Public
tionn u ]1moo r �.
Prinr Natuc of Notary Public
apOr No Notary PUbk Slate of Florida
Hannah E Moore
tpn
My CommissHH 017099
OF Expires 07/01/2024
1
AAPEX Electric
(Company Na ee�Individual Name} — — have agreed to be
the Electric
(Type of Trade) ' Sub -contractor for Adams Homes of Northwest FL, INC
(Primary Contractor)
For the project located at __ 1
(Project Street Address Property ... . , —
Tax ID sl)
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.
TRACTOR SIGNATURE (Qualifier) -
W. Bryan Adams
—
29179
COUNI'v CERTIFICATION NUM1tBER -
State of Florida, County of St Lucie
The foregoing instrument was signed before me this _Y_ day of
20W, by W. Bryan Adams
who is personally known --Or has produced a
as identification.
( WL�k MOM—
Sinre of Notary Public
ann lMoor�
Print Name of Notary Public
SUB.CONTR.4CTORSlGNATURE (Quafificrj -" - --
1
PRINTNAME ' _ _---
C� Y CER7'fFICATrON NUIyBER
State of Florida, CountyoP.!:& L_L je—
The foregoing
/instrument was signed before me this q day of
�( C 20 W by Qcx, A ya ! who is personally known )k-or has produced
as identification. -
STAMP 2o-0', pul,�c JAJW L HARNER
*i2t®reo Notary Public * s MY GUAMON # GG 089122
cr EXPIRES' Apxil 2, 2021
.—_ ylFOF FLup` Bonded TN% BudoeI Notary Services
nr nt N i m e o f No-t Z�r_yPrtft cl
'p Notary Pubic State of Ftgrida
4O.
Hannah E Moore
Revises1l `Ifil2016 My Commissxxt HH 017099
Rt Expires 0710112024