HomeMy WebLinkAboutSub-Contractor Agreement2
FPERM! N41 T
ISSUE DATE
j ... PLANNING & DEVELOPINIENTSERVICES
Building & Code Conipliallee Di�:isjojl
SUH-CON'I'RAC-VOR AGREL-MEN'l-
W- dc L A RO �1111-eed to be
on'llially Nanie"j-,cliN id? NaincF
t1le Rooting
------- Sub -contractor for Adams Homes of Northwest Florida, INC
Comr.Wtol")
For the prUjcct located at
----- —.— ......
v "fax ------ 11 (Proje..(
It is lifiderstood tllat, if,there k jjjjd-
change ofsratlls ICL
project; [lie Buildill'-, -afdiflz')� Ot"'Parlicipation With (11c. abOVe Mentioned
Z111d C()Cie RO�-'Lfldtiolj OiViSi011 of St. Lucie (-'0L111Pv'
filing or;1 Chan"12 of sul)-Corllracroj. 1 ";'11 PUr.-,Lf,111t Co the
Z11 11o1iCL:.
Q R 1 (A 0 -- * --- -
inilificr)
William Bryan Adams
Stfl(('01 1`10rIffif. C UIL011 or St. Lucie
-2;11". William Bryan Adams
I'llois —orhas produced a ...........
ns Idenril"le;1(ion.
Cil;nalorc of \'nran' Public
flowflah- MvO v a
N a .- - —;-
0' ry Put)lfc State of Fprd,
Hannah E Moore
MY COMMI&SM HH 017099
'Y
Y xpr s
A,'- J,j I 1 1 o 2of I L0.9 _di Expires a17/01M24
.0 -7 ------------ - -- ....... ...
COUNTY
St Lucie
Pic fqlvqoing
-------arch JIV a
Atq
who is personalty knomi
has j)rod(e,:(qj
--
'Is id(: (irieft (in n.
Si�nnrur.•ofn'ular!
Prini Yunu• of Votary Public
Hannah
A
QPPO%,, NoIA
Han Iry PUb4C State Of FiPrlda
nah E Moore
My Comm'swon HH 0 17099
Expires 07/01/2024
E]
s,rANIP
r
PERMIT #
ISSUE DATE
NW7PLANNING & DEVELOPMENT ,SERVICES
Building &Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
PQ4iC ? e� (Company Nante/I iividtr;ll N<tlne)
the /� — have agreed to be
(Type ofTrade) - Subcontractor for
For the project l(Primary Contractor)
ocated at
(Project Street Addressor Pr ��( �� r
openy Tax [D
It is understood tliat, if there is any change of status regard' our a Project, the Buildingand g participation with the above mentioned
Code Regulation Division of St
filing of a Change Of Sub -contractor notice.
CONTRaCTORSIGNATUR.E
(Qualilie/rly�
PRINT N r I1E 1 1�
'III _
CERTIFICAI
State of Florida, County of
The fore nine inst
rument s%as signed befor e
me this LL day of
�vho is persona y 'n �
!nor has produced a
as identilication.
Signature of Notary Public
STAMP
Q�.
Print Name of Nota i ��
ry Public --
.�•�"'•°�B`c_ PATRICIA ANN GRIFFIN
My COMMISSION tt GG137624
EXPIRES September 26, 2021
Rev,;ed I I/If./2pIF
Lucie County will be advised pursuant to the
-C RA TOR SIGNATURE `
(Qualilicr)
PRINT NAPES C . o
COU RTfFICATIO,V 1116ER
State of Florida, County of (
The I'ore,•uin� nas signed helore me this;A�
��,�,n'day oEin,lr1"11,nenl
Z /b) kr 2 ( �l(SSO
svho is personall vn (/ or has produced a _
as identilication.
atgnaIure of Notary Public
--- STAi),Ip
Print Name ofFNor.r it
y Public "—�—
"�',•� PATRICIA ANN GRIFFIN
_ My COMMISSION Al GG137624
"'•�d'°f � EXPIRES
a��,; ES September26, 2021
PLANNING &. DEVELOPMENT SERVICES
Building & Code COMPliance Division
AAPEX Electric
(Company the Electric Name/IndividuaI Name}
(Type of Trade)
BUILDING PEPJl JJT
SUB -CONTRACTOR AGREEMENT
— -- have agreed to be
_--_. Sub -contractor for Adams Homes of Northwest FL, INC
(Primary Cnnrra�
For the project located at — �I V
(Project Street Addres\! S
party Tax !D z) — _----.
It is understood that, if there is any change of status regarding our participation with the above mendoned
project, the Building and Code Regulation Division of St. Lucie County will be advised pursuant to t
filing ofa Change ofSub-contractor notice. he
�
NATURE 3�it�zl
TRACTOR SIG
(QualificryW. Bryan Adams
PRINT NAME ----. _—_
29179
COURTY i;ii RTIFICATION NbMCLR
State of Florida, County of St Lucie
_ zi t1
SUt3 CON'RualificrJ
4CTOR SIGNATURE - - " (Q•--
PRINT ryAME
Ct�uIVrY CERTIptC :'MN NUM'gER - '----
The foregoing instrument was signed before me this I State of Florida, County o
I
(YM A.Y.&N dry of �
The foregoing insTrumcni was signed before me this l 2a -W
, by. W. Bryan Adams IM.A.tr day. or
— — c�
Who is personauy known or has produced a 20 ;by —
as identification. ` who is Personally known or has produced a
(IJULktLMom
asidemifcation.Signature ofNalary Public V SIAMP 2o�!;i. JAWE L HARNER
ti2fure of Notary Public ,r , M1' C6AAMON p G(', 0891Z2
EXPIRES APdJ2.2021
Print Name of Notary Public ''FOF P. bonded T 6% 9udre1 Notary Services
A nt Name of Motary Pu be — �—
+i�=xpir
te of Flpnda
re
Rc,,isW 1 1 16/2016 'y;-H 017099w24
f
Sun-UUIN I'KACI'OR AGREEMENT
Ridgeway Plumbing
(Company Name/Individual Name)
the Plumbing
(Type of Trade)
For the project located at czc�N O
have agreed to be
Sub -contractor for Adams Homes of Northwest Florida, INC
(Primary Contractor)
�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.
�1111-24
CONTRACTOR SIGNATURE (Qualifier),
w. Bryan Adams
PRINT NAME
29179
COUNTY CERTIFICATION NUMBER
State of Florida, County of St Lucie
i
The f regoing instrument was signed before me this —LL day of
Gtl� 20_, by W. Bryan Adams
who is personally known kor has produced a
as identification.
Oig-fure of 1tary Public
o�'r Notary Public State of FLorxia
;� Hannah E Moore
My Commission HH 017099
?, a Expires 07/01/2024
Revised 11/16/2016
CONTRAC GNATURE (Qualifier) (�
Gregory Kozan
PRINT NAME
19-15354
COUNTY CERTIFICATION NUMBER
State of Florida, County o C
The f regoing instrument was signed before me this LL day of
20U, by
who is personally known X or has produced a �—
as identification. 1 m
STAMP STAMP
ignature of Notary Public
_flannd h Moor.
Print Name of Notary Public
a
llotary Public State of Florida
Hannah E Moore
My Commission HH 017099
Expires07/01/2024