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HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEIV) ENT (Company Name/I ividual Name) have agreed to be the khan; r I _ Sub -contractor for (Type of Trade) el^ ffi ( Wm �EL rm (Primary Contractor) For the project located at AZ 1 "1 K (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) PRINT NAME �'lh LUUNTY CERTIFICATION NUMBER State of Florida, Countv of The foregoing instrument was signed before me this ]� f��,�ldayof by .4 iln / li I Qm �� � fc d cw iYI i vvho is persona y n /nor has produced a as identification. — e__�A-O'Qe Signature of Notary Public STAMP FP�Name of Notary public PATRICIA ANN GRIFFIN c _ MY COMMISSION f# GG137624 Revised 11/16/2016 '+F FL` EXPIRES September 26, 2021 -C 12A TOR SIGNATURE (Qualifier) C 0 ussS PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, Countv of}�iGt The foregoing instrument was signed before me this day of QRohe iVb>Vu1or has produced a4 �RuSSa wsoiall vn as identification. Signature of lNotary Public — STAMP era a�4Print NaeofNotic i;�►"� •"ec�_ PATRICIA ANN GRIFFIN MY COMMISSION tI GG137624 •:�o;PCd!°' EXPIRES September 26, 2021 PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code: Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT tLompany Narpe/Indiv.idual Name) the:.0l� rnhLo�— (Type of Trade) For the project located at tZ114aV ow St.- -ANC have agreed to 6e Sub -contractor for 0 Adams Nouns of Nott west Ftodda. tflR (Primary' Contractor) (Project Street Address or Property Tax ID tt) CI r 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. Cull A KAL I UR SIGNATURE (Qualifier) Adams Hanes of NattM*d RWKta• Ir>G PRr1VT NAME COUNTY CERTffICAT10Nq State of Florida, Canary The foregoing instrument was signed before me this I day of 11 Ll, I Z t,y William Bryan Adams who is personatl known u Y �r has produced e as identification. ^^-vilVvGi7-Pu blu STAMP SHELLEYA. SEPUI_VEDA Print Name of Notary Public :+;'•°��.: SHELLEYACSEPULVEDA MY COMMISSION # GG262074 EXPIRES: January 25, 2023 f Bonded Thru N t>fafy Public Undtltmilers Revised 11/16/20 Lucie County will be advised pursuant to the SUB-CONT SIGNATURE (QuaIfier) COUNTY CERT1.1-ICATION NUMBER State of Florida, Co,uaty of 3'r. u" ae The foregoing loslrumOt't was signed before me this ` day of 20rV■by � t/✓lirl lJi✓t'tAArZ Who is personally known ✓ or has produced a as identification. STAMP Signature of Notary Public C_ xjy- a 0�"9t4.S U" V)'SC'q Priol Name of Notary pipbllc or Pia,; .� �•�� = oP�P RICHARD DOUGLAS JOHNSON Notary Public - Stale of Florida MY Comm 5Expires Mar 20, 2021 Banded Ihrougn NB OMI NolatyAssn. PERMIT # I I ISSUE DATE PLANNING & DEVELOPMENT SERVICES Buildi eBUILDING ]PERNTIT SUB -CONTRACTOR AAPEX Electric (Company Name/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 at­I� 1 C r (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. TRACTOR SIGNATURE (Qualifier) -- --.�.. SU&CONTR CTOR SIGNATURE (Qualifier) - W. Bryan Adams PRINT NAME --- ---• 29179 COUNTY CERTIFICATION N&—NJ6 R State of Florida, County of St Lucie The foregoing instrument was signed before me this ( day of 20�Qby W. Bryan Adams who is personally known __or has produced a as identification. Signature of Notary Public L�L STAMP ��c lnc� rc� l� J'�h ►n.c � � � Print Name of Notary Public ;,•�;i;v'iiti•., RICHARDDOUGLASJOHNSON No Nolic - State of Florida ' Comm. # GG 084821 Rev edN `' t }fi My Comm. Ezpaes Mar 20, 2021 ',!;, 6'rdcrt'v s;h'aa'raoalNolaryAssn. PRINT NAME - — -- CC� Y CERT(FIC I Tj` N.NUMBER State of Florida, County oP&_LA-�rie— The foregoing instrument wai signed before me this I dap of _. 20 aDby Pa Qcxc, who is personally known -V—or has produced a as identification. - iPRY c JAJir1E L liARrtER i azure of Notary Public + k MY G6AAMON # GG 089122 c EXPIRES- April 2, 2021 M- m9l�OF Fl-cP WBonded Tht Bu&,ei Notary Services not Name of Notary lu6lie PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT (Company Name.'Ind the dual Name (Type of rade) --� For the project located at have agreed to be A41 44 Homo of Northwest FWddk bA (Primary Contractor) ) _ Z timuI- i Ciy (Project Street Address or Property Tax 1D #) Sub -contractor for It is understood that if there is any change of status regarding our artic ' project the Building and Code Regulation Division of St. Lucie C p Ipation with the above mentioned filing of a Change of Sub -contractor notice. CONTRACTOR SIGN — — ATUR;t (Qualifier) � Adams Homes of Northweg mold,, I,, PRINT NAME COUNTY CERTIFICATIO NUMBER --� State of Florida, County =sp The 1f1regoing instrument was signed before me this V �1., � day of 2by Will=ryas dams who is personally known ✓ or has produced a as identificarion. ------ Signature of Notary P�Ublic STAMP SHELLEYA. SEPULVEDA Print Name of No °`�t;�., SHELLEYq,SEPUlVEOA MY COMMISSION !r GG 262074 :r.; EXPIRES; Janua 2.5, n; d��;".: ` Bonded TTnI N NI 2023 Notary Public Underwriters Revised 11 16 2016 Ounty will be advised pursuant to the o SUB-CONTRAC R SIC 1!!J A- RE(Qualifier) P N � , S I i�.�ICMaC` G.,I 30�5 COUNTY C.ERTfF;ICAT16N NUMBER State of Florida, County of 37 t.-ctCl L The foregoing instrument was signed before me this �1 //gy�pp day of . 2-%. by 22riC1v) tilt OYl who is personally known _✓or has produced a as identification. Signature of Notary`Public STAMP tchara p" 14 c�hnSpn Print Name of Notary p tic ;i:�• p e.,;. RICHARD DOUGLAS JOHbSOr, Notary Public -Slate of Flonda C Commission 0 GG 084821 My Comm Expires Mar 20, 2021 "" F''^O lArougA Nalbnal Notary Assn