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HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # T OUNTY F it 0 R 1 D +A x ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEIVI,ENT (Company Name/1 ividm ual Nae) the � 1 (Type of Trade For the project located at (Project Street Ad have agreed to be Sub -contractor for"M-0 nc „e �r •ram (Prunary Contractor) SJL s or Property Tax ID #) It is understood that, if there is any change of status regarding our participation with the -above project, the Buildingand Code ea mentioned R bulation Division of St. Lucie County will be advised pursuant to the filing of a Change of Sub -contractor notice. CONTRACTOR SIGNATURE (Qual�fl crl PRINA aA I E --"�� -m?9/F9 COUNTY CERTIFICA710N NUMBER_ State of Florida, Count of QCli The foregoing instrument was signed before me this �7 2`ay of 2OZI, by who is persona y -n ror has produced a as identification. Signature of Notary Public STANIP �r' I/1iP� Name of Notary Public --- ,.*""•�8�� PATRICIA ANN GRIFFIN MY COMMISSION # GG137624 EXPIRES September 26, 2021 Revised 11/16/2016 y'!" 'C �A TOR SIGNATURE (Qualilicr) - r C o LtSS o PRINT NANfE COUNTY CERTIFICATfOON NUMBER State of Florida, County of J��. C/ The foregoing instrument seas signed before me this (7 � d -by 2064 a •Della Russo who is perso4all :2il"O'#�eor has produced a as identification. Signature Of Notary Public STAMP Print Name oN ory Public—� c: PATRICIA ANN GRIFFIN N �; MY COMMISSION # GG137624 ''.?d'°' EXPIRES September 26 PERMIT # I I ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division Ridgeway Plumbing (Company Name/Individual Name) the Plumbing (Type of Trade) BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be Sub -contractor for Adams Homes of Northwest Florida, INC For the project located at Z V49'5 (Project Street Address (Primary Contractor) e��_ N_ rroperty -1 ax 11) #) 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. 1 2 CONTRACTOR SIGNATURE (Qualifier) w . Bryan Adams PRINT NAME 29179 COUNTY CERTIFICATION NUMBER State of Florida, County of St Lucie The foregoing instrument was signed before me this- y of 20by W Bryan Adams who is personal y own �or has produced a as identification. ignature of Notary Public CONTRAC GNATURE (Quail er)�� Gregory Kozan PRINT NAME 19-15354 COUNTY CERTIFICATION NUMBER State of Florida, County o aul " The foregoing instrument was signed before me this Z day of who is personally known X or has produced a as identification. m STAMP V/ I ' W D STAMP 1n ignature of Notary Public :00 ing Print Name of Notary Pub] 4, State of F!p,,dy Hannah E Moore Print Name of Notary Pu ctp Notar C0 0 com Issron HH 017oyy ' ' Publc State Expues 7/01/2024 y Mr nnah E Moore of F�,r:. or wdtP Expires 07 0 /2024 0 Revised 1111612016 PERMIT # ISSUE DATE PLANNING & DEVELOP I!/IENT SERVICES Building & Code Compliance Division m _ ........ BUPLDINC'PERNUT 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) -- � `---�—�" - (Primary Contractor) -- — For the project located at35-_Z (Project Street Addres 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. led .......--.—_..- TRACTOR SIGNATURE- _ I. (Qualifier) _...... _ W. Bryan Adams PRINT NAME -- -- --- - 29179 COUNTY CtERTIFlCAT10N1VUhtBF.R State of Florida, County of St Lucie The foregoing instrument was signed before me thisZ� �dryaf z02jby W. Bryan Adams who is or has produced a --�_ as identification. �n r v Wo� Sign lure of Notary Public anY) oor Print Name of Notary Public SUB CONTRACTOR SIGNATURE (Qualifier) '? i PRINT NAME - - - -.---• —_. Cot1NTY CER7'tFtCA-TtTjN NUMSBR State of Florida, County O*&k LA_�e_ The foregoing instrument was signed before me this Z zo-4b, s��� who is personally own -V--or has produced a as identification. - STAMP eat YP�sv�n JAJ61EL1•IARNER i ature of Notary Public r : MY C6AAMON 9 GG 069122 " c EXPIRES- WI 2, 2021 OF �oF\ Bcnded Thti Bud -,el Notary Services r M Name of Notary Pu be MW_-- 'p j Notary Public State of Flpnda Hannah E Moore Revisod 11 16/2016 �tQ MY Commission HH 017099 �'►a _dr Expires 07/01/2024 1 PERMIT # I I ISSUE DATE PLANNING & DEVELOPMENT SERVICES J f - Building & Code Compliance Division BurLDING PERN11T Mammon- SUB -CONTRACTOR ACRE, EMENT (tornpany NameNndiyidual Name the Roofing (Type of Trade) For the project located at _ (Project have agreed to be Stub -contractor for Adams Homes of Northwest Florida, INC (Primary Contractor) 1— 51— Address or Property'kax 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 Riling of a Change of Sub -contractor notice. ) CN'1'R:1C' J' e Q : (i:uliricr) Z� Oz�— 5U6-CONTILIC'r lGNr1'['URl nati(icr)" William Bryan Adams PRINT NAME _ 2 1-7gi COUNTY CERTIFICATION NUNIBER State of Florida, County of St. Lucie The foregoing instrument was signed before me this Z7Zfty, of gu�C4 L(u 2a7�. , by William Bryan Adams who is personntly nown _Y_or fins produced a . s identification. Signature of Notary Public -JJ0M na h (Moo i Print Name of Notary Public �or Notary PuWfc State of Flpnda Hannah E Moore pY My Commission HH 017099 Revised 11116/2016, �7ofFV Expires07/01/2024 JUgrmmq C�r,�rrc_g �Ptuir� PRINT NANTE COUNTY CERTI (CATION NIVUBER State of Florida, County ofSt Lucie The foregoing instrument was signed before ntn th12 L-day of �Z�z�l,yt oV r� arclu PIGtq personalotvu Xor has produced a as identifcation. Mom STAMP Signature of Nolan" Public Print Nunie of Notary Public N Notary Pubkc Stat& ofrFlorida Hannah E Moore My CommissionHH 017099 Expires 07/014024