HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT #
ISSUE DATE
----- PLANNING & DEVELOPMENT SERVICES
•
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREENIENT
Af--Air�, PQ(Copny Nance/► I vidual Name)
the /� 1 �— have agreed to be
(Type of Trade) Subcontractor for
(Primary Contractor)
For the project located at
(Project S5LIheet �dior openy Tax [D ti) ���/
It is understood that, if there is any change Of Status regarding our art
project, the Buildingand Code' P Ictpatlon with the above mentioned
Regulation Division of St
Fling of a Change of Sub -contractor notice.
CONTRACTOR SIGNATUR-E
(Qualilicrl
PRINT NAh1E doM—J
CoiJN '} CER 'CA710N
State of Florida, County or
The tore pine instrument n a
signed belbre me this
V s day' of
rr ig by
+vho is persona y .n 1�J�
—or has produced a
as identilication.
Ie
Signature of NotarY Public
— STAMP
Print Name of Notary
Public --
"'°°e��: PATRICIA ANN GRIFFIN
MY COMMISSION # GG137624
%F�f, EXPIRES September26, 2021 Rev,;ed I I/I(i?pIF
Lucie County will be advised pursuant to the
-C RA TOR SICNATURE ` Z
(Qualilirr)
r-� C. , p ccSS0
PRINT NAME
COU�RTIFICATIO,N tINUiIMBER
State or Florida, Countv or Q
uGt
The I'uregoinh instrument was signed helore me this'
,:,,.
jA—
day of
by
ho is prsonull vnvf/ or has produced a _
as identification.
Signature of Notar) Public STAMP
Print Name oa or n
y Public --—
PATRICIA ANN GRIFFIN
MY COMMISSION # GG137624
EXPIRES September 26, 2021
PERMIT #
ISSUE DATE
"W5
PLANNING & DEVELOP
SENT SERNICES
Building & Code Compliance Divisiol,
.... . . ... B t 1 L 1)
. . . . . . . . . .
(COill pally Narine I licli iclul11 .\,, to be
tile Rooting
............. Still-contracCor fol. Adams Homes of Northwest Florida, INC
lie 011 nide)
F01, tile pr(�icct 10CLItc(I ;It Conirzu:wr)
It is Illidel-qood 01,1t, it,there is any ClIjIlIOL! of status
PYOjecl� rile Bulldill�,, Z, Wil' Pili-ticipation (Ile. �Ibo%-e Illentiolle(I
MILI COLIC I?C(-rLl1WioIj I
siun OfSt- IAICiC (-'()Llll[V kj;ilf bo advised PI.W.S11,111
SLIb-CoIIII-ZICr(jj- Ilori e. t [() the
C
--- -------
.0\1,("J_i.�. I z�
I (II
Williarn Bryan Adams
Stele of florid;p. C uncil, or St. Lucie
'J he tweg,;iii,,, ltkirruww ,tj si,,.lred f,rt,, the Itti" d;y% W
)qll,,Y William Bryan Adams
who is
As Identilkation.
(N -L X�AMP
ia II )-fl
r%
Or Notary -9 - - —
0' ry PUW#C State of FPjda
til C�
Hannah E Moore
My Com H H 01 7099
f M
xpr 0
'Y M'Y"COMMISSIOn HH 0 17099
lap 0 ,
it, 2(w, I LOU Expires 07�/O#Ml/2024
zi
cc. 1�f
K
SIN(C Of Flac-03, ('riunr, of St Lucie -
rile filre"wilig firstrunte.til twOurt tile rills
idio is personally knmujj_.K-.�Or )ill& produce I,,
its id�ji (irien (ion.
Null ,"t,",",nd
STAN I P
l* .0 Nory Public slat, Of FLOrlda
Hannah E Moore
VPO, wj ExpC,reOSMM'3&On HH 017099
07/01/2024
PERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
S r r•_
BUILDING PERNUT
SUB -CONTRACTOR AGREEMENT
% Ilydny ware/Individual Name) v tZk\w S� _zw
the P` LA 1_
(Type of Trade) ii.v Sub -contractor for
For the project located at
__syy3 LI
(Project Street Address or
arty Tax ID a)
have agreed to be
Adtuns Ho(tlas of NorQtv(est Fiatda, tctG
(Primary Contractor)
y
It is understood that, if there is any change of status regarding our participation with the project, the Building and Code Regulation Division of St. Lucie County will be advised above mentioned
filing of a Change of Sub -contractor notice. P uant to the
CO R SIGNATURE
(Qualifier)
Adams Hanes of No(tttwest P4(idk tnt:
PRINT NAM1fE —_—
COUNTY CERTICICAT10N NUMBER
Stale of Florida, Couory &tE�
The foregoing instrumenr was signrd before me Ibis IL day of
21; by = Bryan Adams
who is personally knawo has Produced a
—�
as idenfificatioo.
i
SHELLEYA. SEPULVEDA
Print Name of Notary public
SUB corq-r A�1 • R SICNAT --�
S UR'(Qualrier)
pYT NAM1tE ^� �% Vj M PR
3q c�
COUNTY CERTQ ICA 110N NUM1IBER —�
State of Florida, County of v=Cl
The foregoing instrument seas signed before me this I
J/Vn 6,Y ^'_ day of
I t '�'r` zo 21/by. (j . 3 � m •e.tn,Gz
Who is personally known — O has produced a
as identification.
STAMP (fl^^ 40V ,n ^
S•s„ahtre of Notary PublicPublic � ►I/ Il
ate''°c•.. SHELLEYA. SEPULVEDA
My COMMISSION # GG 262074
•'•'f Of �op�: EXPIRES; January 25, 2023
Revised II/16/20 9ondedThruNotuyPubllcUndwffllare
Ha.nna.k Moo r e-
Print Name of Notary Public
ro PIN
Notary Public State of Florida
Hannah E Moore
My Commission HH 017099
'�ornt
Expires07/01r2024
STAMP
PERMIT #
ISSUE DATE
PLAN
NII®iG & DEVELOPMENT SERVyC
Buildinu &rmCode Cotip E�
o ,
p nce Division
BUILDING PERMrr
SUB -CONTRACTOR AGREEMENT
AAPEX Electric
(Company Name/Individual —Name)-
the Electric
(Type of Trade)
-- have agreed to be
_. Sub -contractor for Adams Homes of Northwest FL; INC
(Primary C r _
For the project located at .5 L/L13 L�
or
(Project Street 66 rte Propert�ID x) —` ° —31i J
It is understood that, if there is any change of status regarding our participation with the
above
project, the Building and Cade Regulation Division of St. Lucie County will be advised u uant to
tonehe
filing of a Change of Sub -contractor notice. P o the
3 I 1 IZ�
TRAC'r0lt SIGNATURE (Quali IW. Bryan Adams
__-
29179
COUNTY CF;RTIFICATION NUMBER -
State of Florida, County or St Lucie
The foregoing instrument was signed before me this ( ,day of
(Y10.YGh ,2oZ,by w. Bryan Adams
who is persona Uy known or has produced a
��—
asidentification.
Signof Notary Public Mom31ure
STAMP
tiq�qwo__
00r
mcoNotary public
yp� Notary PUNK State of Flprxia
Hannah E Moore
Revtstd t 1 115/2016 @ My Commtsston HH 017099
�'►apr> Expires 07/01/2024
S116 CONT
RACTOR SIGNATURt u ..
tQualificrJ..---.
PRIA�NTNAIME
COUNTY CERTtp�C'gTtT7N NUMBER
State of Florida, County 0r5 LL):L;e_
The foregoing instrument was signed before me this I day of
KOLY eA
1.204'by
who is Personally known
X.or has produced a
as identification.
2attRY Pua�c JAJNIE l HARNER
i �ature or Notary Public k My CUtAMON a GG 089122
N;- o EXPIRES April 2.2021
,E0F ln! Beaded Th% gjet Notary Services
tint Name or M—otary Pu Ise