HomeMy WebLinkAboutSub-Contractor AgreementPERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT .SERVICES
Building & Code COMPliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/1 ividual N une)
the — have agreed to be
t
(Type of Trade) Sub -contractor for
For the (Nw ary Contractor)
project located at �3��-� ,p ' �, _ )
(Pf'ojec t A,dre_- or fro ert `� l(C�/�2' � ,P
P yTax ID #) —_
It IS understood tji it, if there is any change O.fstatuS re ard' g In
project, the Bg Our participation with the above mentioned
uilding and Code Regulation Division of St. Lucie C
filing of a .Change of Sub -contractor notice.
CONTRaCTO-54
SIGNATURE —
(Qualilierf
PRINT NAME"`^•
-t COUNT' —t I I ICAI ION NU'b1 —�
BER
Stare of Florida, County of
_..S1 Cl Jf
The foregoing instrument Signed bel'nre me this -F=j
L da)' of
I
by
whnispersona y fr�
'n
�r has produced'a
as identification•
Signature of Notary public STANIP
Q�.
Print Name
ry Public --
c"''• PATRICIA ANN GRIFFIN
MY COMMISSION # GG137624
7fF:`f EXPIRES September 26, 2021 Reyi;ed.l I/If/o0l(
outity well be. advised pursuant to the
C RA TORSfcN,1TUR.E
(Qu:tlilirr)
PRINT NAME 62- Q V _-
COUNTY CERTIFICATrON iNUMBER
Stale of Florida, County of
The fore., uing instrument ` -40
11'as signed hel'ore me this
'i' / day ol•
t ' b> � •f�eli� �uSS�
cyliu is persorjull vny —or has produced a
as identification. --------
Signature of Notary Public
AA: -- STAMP
Print Name oaatar r
y Public
PATRICIA
ANAI GRIFFIN
My COMMISSION # GG137624
EXPIRES September26, 2021
,--- _--=R. — PLANNING DEVELOPMENT SERV
_ e7i? ,�?. , T:, .; 7 & DEV MENT ICES
- Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Ridgeway Plumbing
(Company I'Jn—aii..a:..:J.._,
the Plumbing
(Type of Trade)
have agreed to be
Sub -contractor for Adams Homes of Northwest Florida. INC
For the project located at �!Ji
(Project Street Address or Property Tax ID #)
I � I
It is understood that, if there is any change Of status regarding our participation with the above
project, the Building and Code Regulation Division of St. Lucie County will be advised porsuant tothe,filing of a Change of Sub -contractor notice. he
CONTRACTOR SIGNATURE (Qualifier)
�• I Z/
)
w. Bryan Adams
PRINT NAME
29179
COUNTY CERTIFICATION NUMBER
State of Florida, County or .St Lucie
The foregoing instrument wassigned re me this L day of
e z7j,by W. Bryan Adams
who is personally known kor has produced a
as identification.
ignatureofNotaryPublie •' STAMP
ours
Print rvame of Notary Public
Revised I Zra kk
Not Public State of Florida
Hannah E Moore
My Commrssron HH 017Mi
Expires 07/01/2024
a"
�r
(PrimaryContractor)
CONTRAC GrYATURE (Quali�ec)
Gregory Kozan ._
PRINT NAME
19-15354
COUNTY CERTIFICATION NUMBER
State of Florida, Countyo C (,�
The foregoing instrument was signed before me this 1 day of
Y ,2o 1,,by �• I�6zQh
who is personally known X or has produced.a
as identification.
140
pig-4-reof Notary Public STAMP
-no h l moo
PrmtName of NotaryPublic
Notary Public State of Florida
Hannah E Moore
�,- • A1Y. i orr,mrssron HH 017099
�%, EAp,res 07i01/2024
PER,MIT4
ISSUE DATE
PLANNING & DEWELOPMENTSERVICES
Building & Code C b
6 Compliance ivisioll
Sl 'ACTOR AGREF.;1:IGVT
1mvidual Name) T reed to be
((UTIll. TIRllIle.1.1 .1%..i ....... have
tile. Rooting
S Ilb-COntractol- f(Il- Adams Homes of Northwest Florida,
(Type of'Trade)
Fol' the PrOicet located at
WrOiect Street Address or Property
It is Understoo(I that, if there is, any change,
Of -WLIS regarding 0LII- participit ioll the: above illentioned
project, the Btuldinc, 11iLl
of St. LUCiC ('01.111tV ki"11
b"fdVisCCI PUNLICII)t J-O tile
filing: of'a Ch'ali,,C of S
11 . IloliC.C.
.William Bryan Adams
StAk of Florida, C ii(tll(v of St. Lucip
The
went tills si,,ited before "to this
-1.- ct, Ill.'
20- by William, Bryan Adams
1010 is persatiMlY hllO.ij.n -A-or has produced a
as Identification.
Oe STAMP
0-" -h-
Op Notary P, 'to,, y PutgI6 State of F(prida
Hannah annah E Moore
M
C"MISSIM HH 017099
00 Expires 07/01/2024
SIC NA
t (7,lt Fier)
C
SiatcJfFlarida,('ountrul'
Sf.L-ucie
ilt-OrtfIlIC01 %%Its signed 11elilre ,it, gilt$
1011) Is persoultliv kn(n*ji.,& or il.g produced
as iden(trication,
Shllyfl(ure u7r Notary Pt I A -Y I'A -.N I
RA -.1 Do
,P 'clialrY ubkc State Of F(pri . d a
Hanna Elie
1�,, �di My COMM13"n H#1 017009
Expires 07/01/2624
PERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Builda®g &Code Compliance Division
BUILDING PERMI—r-
SUB-CONTRACTOR AGREEMENT
AAPEX Electric
(Company Narne/Indi,vid_'_ Name) have agreed to'be
the EleCtric, .. --
(Type oFTrade) — — " ---- Sub-cbntractor for Adams Homes of Northwest FL, INC
(Primary C r�
For the project located -at -���— /�
(Project Street Address or Property Tax ID A)`�`��e-�" 19 4-6a—.-
It is understood that if there is any change of status regarding out participation wit
h the
project, the Building and Cade Regulation Division of St. Lucie County wilj:be advised au ove mentioned
filing of a Change of Sub -contractor notice. P rsuant to the
APT TRACiOIt SIGNATURE (Qualifier)
W. BryanAdams
PRINT NAM_E
29179
COUIVI'Y CERTIFICATION NUA]BtR � —
StatcofFlorid.,County, or st LUCIe
The foregoing instrument was signed bcrorc me (his
day of
20zV by W. Bryan Adams
Who is personally, known
_-or has produced a
as idcntifitarion. Abb—m—
reofNofary PubliS7',\M11P
PNm u
Pr1nl Narttc of Notary Public
P Notary PUDIC State of Flpnda
Hannah E Moore
R 0is� 11 16/2016 Q MY Comnitssion HH 017099
�7a w Expires 07/01/2024
sQf--,-- 31►jlz) CONTR4CTOR SIGNATURE
.A�.
PRINT NAA1E - - " -
C UNrY CeRTIFieAN NUMBER --
Sratc of Florida, County ot`Es� LLK;e
The foregoing inslrument.w'91 signed befor'c me this IL day of
A a Y. � . 20 4by kQ_Q\ t)
who is personally known ' � �]—
ar has produced a
as identification.
2o4OkY POBic JAXE L HARNER
i ature or Nofary Public t400
} MY GNtAMON p GG OB4122
Nor�o` EXPIRES Xpril2.2021
9cnded hti 9uc�_,el Notary Services
riot Name or Notary, pu be �-"-----