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HomeMy WebLinkAboutSub-Contractor Agreementi G & DEVELOPMENT SERVICES i®g & Code Compliance Division BUILDING PER1►1IT SUB -CONTRACTOR AGREEMENT i AAPEX Electric (Company NameQndividual Name} - have agreed to be the Electric (Type of Trade) — — -' --- Sub -contractor for Adams Homes of Northwest FL, INC n (Primary Contractor) -- — For the project located at ig 1 Z I (Project Street Addres o r Property Tax ID x) —___- It is understood that, if there is any changejof status regarding our participation with the above project, the Building and Code Regulation Division of St. Lucie County will be advised mentioned filing of a Change of Sub -contractor notice pursuant to the :;:�-A.TURE (Quahficr) 2 I-� W. BryanAdams PRINT NAM_E _---- .-- _ I 29179 COUNTY CERTIFICATION NUh]BER — State of Florida, County of St LUCIe The foregoing instrument was signed Dcforc me this day 'or 20Z.1by W. Bryan Adams who is personally known —.or has produced a —�_ as identirita6on. _ Signature of Not,. Whom ry public I7 AMP Print Name of Notary Public I +per Notary Public State of Flprbe Hannah E Moore Revisod I 1 16/2016 pv My commision.HH 017099 �7p� �tR Expnes 07/0112024 i SUB-CONTRACTORSIGNATURE �,� (QualificrJ ;.��.Gt,t1�J PRINT NAME --•• ....... _- C Y CER rIF�Cg7fON NUI.$@R - '-- State of Florida. County orm—t t r 1e_ The foregoing instrument was signed before me this day -or �. 20_V, by� who's personaU known y X•or has produced a as identification. Pu, JAJNIE.L WARNER ti2tu�rc of Notary Public r My C6AAMON a GG 069122 >� o� EXPIRES aril2.2021 Bonded Thti BudrAt Notary Services rint Name b PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division Ridgeway Plumbing (Company Name/Individual Name) the Plumbing (Type of Trade) For the project located at BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be Sub -contractor for Adams Homes of Northwest Florida, INC (Primary Contractor) (ProjectiStreet 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. �Z_Z_3 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-3. yof 204 by W Bryan Adams who is personal own kor has produced a as identification. (� v v `— STAMP Ai.---t.of Notary Public VA ak M or, V-'f- Prin Name of Notary Public Notary Public State of Flpnda, Revised 11/16/201 �Hannah E Moore My Commission HH 017099 Expires 07/01l2024 CONTRAC GN'ATURE �� �� (Qualifier) Gregory Kozan PRINT NAME 19-15354 COUNTY CERTIFICATION NUMBER State of Florida, County o C 14 The foregoing iostir&ument was signed before me this 77 • a y of 20L1, by �VIC2 an who is personally own /� or has produced a as Wen icarinn. igna re f Notary Public P Print Name of Notary Public ION Notary Public State of Flpnda Hannah E Moore p� My Commission HH 017099 7�w0� Expireso7/01/2024 PERMIT # ISSUE DATE PLANNING & DEVELOP � - Buildin MENT SERVICES g & Code Compliance Division _ - BUILDING PERMIT SUB -CONTRACTOR AGREEN(ENT r" e°Q �j � lj C l (Company N 111 ividual Name) the have agreed to be (Type of Trade) -------- Sub -contractor for D_ For the n (Primary Contractor) project located at �( k��SI, /� — Address; orNp,f1. e4 C- My Tax !U #) It Is understood that, if there is any change of status regarding project, the Buildinga g no our participation with the above and Code Regulation Division of St. mentioned filing ofa Change ofSub-contractor notice. L ucle County will be advised pursuant to the CON7 RACTOR SIGNATUR !Qunlilic•rl PRINT NAN11: COUNTI �� �10N,' CERTIFICN U, IBER Sratc of Florida, County of The toreeuine ins C( e trument s+as sig by (,� ,, ned bel'nre me this `'C/ 1 i•, L da) of srhn is persona y � !'or has produced a as ide+itilicatinn. _ Signature Qe of Notary Public STAMP Q�. Print Name of Notary public / 1n °c PATRICIA ANN GRIFFIN _ MY COMMISSION # GG137624i :.' Rev+sed 11/I6/2.,6 EXPIRES September 26, 2021 C TOR SlCN,17'UR-E (Qu :dilier) �'AINT1"' CILQ_ Lt SSo � 7 TY CE RTIFICAT O,\ \'UNISER State of Florida, County of The furr�uine instrument "as signed hefore me This day of —�J by O 1Ysso Iru is persoriall / e �-- rn —or has produced a as identilication Siotary public STAMP Print Marne o'faryotar n y Public ___ PATRICIA ANN GRIFFIN r • ��: MY COMMISSION # " • GG137624 EXPIRES September 26, 2021 PERMIT # ISSUE DATE PLANNING & DEVELOPMENrI' SEI2�'ICES if F Building &Code Compliance Division A r1 BUILDING, PE,RI111T SUB-CONTR.AC-1.011 ACREENIENT (,�'on�pcny Nalne�tix9ividual \�r The Roofing (Type of T)"ade} I For the project located at have agreedto be Sub -contractor for Adams Homes of Northwest Florida, INC (PriMao! C ontractor} --- --- (Project Street Address rif. Property "fax IDI) It is undcrstood that, If there is any change of status regarding OUT participatioil w-it(1 the above mentioned project, the 13U.ilding and (:'ode Regulation 1)ivision of St. L_1ICic County will be ac(vised pursuant to the filing of a Chancy of SUb-contractor notice. si;�n-cu�'i•k;1�rf __.•ic`n�FiRJ rWi\I;am1Bryan Adams COUV'fl` CH;R'rIF'IC:1'I'tUti NCI�lf3i•:R ---- State of Florida; County of St. Lucie 2 'rhe tin-l;;oing insrl'unrcnt 1%as signed bet'ore Me rhisZJtlar uC _ ^ . 2i Z,j,,1. William Bryan Adams_` whu is Persona iv hnolrn or has produced a as Identification.—� I 1reignafu•of NO;- Public — -- STAN411 ton -n a I2._._ IM o-vv Print Nana• a(\utary Public t� yp Notary Public State o1 Flprlda Hannah E Moore = My COnlmiss16n HH 017099 Re iscdll116;}ptl, �Ip�p Expites07/01,�2024 C4U\'r1'MCP;2Tn�IC:1T'r(1\'NCi�lB13R-----�— —"- Stale of Florida, Couott• of St Lucie 'rile r'orcgoing instrument I1a5 Signed 110 are me alls M d;l�. of tJu V(�&MO r c I u PI U �q who Is Personally knowa-Z(-or has produced a as identification, � p Si�nufurcA L b_u_ s'rAMP Print Niirilc of \otarI Public Vet i �% �p� as Noe p Notary . ublio Stare Of F(pnda Hannah E Moore My Cornnnlssion HH 017098 Expires07/01/2024