HomeMy WebLinkAboutSub-Contractor AgreementPERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
the
t,--ompany Narpe/lndividual Name)
(Type of Trade) ^�1N-4--
For the project located at 51135-
4, I�tZA av 'S�%ICr,�
, -ZNC, have agreed to be
Sub -contractor for Mom HoftlssofNofttiwegFloffda.br-
(Primary Contractor) -�
(Project Street Add
Perty Tax ID d)
l Lr LIA
It is understood that, if there is any change of status regarding our participation with the ab
project, the Building and Code Regulation Division of St. Lucie County will be advised urosuamentioned
filing of a Change of Sub -contractor notice. p rit to the
Co R SIGNATURE
(Qualifier)
Ad&= Hwft 01! %t0(ittYl'e3t a hit
PRINT NAM1fE
COUNTY CERTITICAT10N NUMgBEERq
SLa Ic of Florida, County &'ram
The foregoing instrument was signed before me Ibis
IA —day of
241_ by = Bryan Adams
who is personally known bus produced a
as identification
SHELLEYA. SEPLII VEDA
Prior Name of No— Gry Puhlir
SUB CONTRA�1, RSICNAT —'�
llRE (Qua�fier)
PRIM NAM1tE
aQ� �
COUNTY CERTIFICATION NUMBER
State of Florida, County of C51 LIA tom' (Q
The foregoing instrument -as signed before me this 1
f�� day of
` o r &\ 2021b) Q7. 3 r, m-eni-7
/�
Who is personally known ' Or has produced a
as identification.
STAN9 �A ^^ p n
(Signat-utr/e.ffJNVotla(ry�P`yu�bhc Y I`
;+: !"'':.
SHELLEYA. SEPULVEDA
MY COMMISSION # GG 262074
�'�.ro�
EXPIRES: January 25, 2023
no';��.
Revised II/16/20
9ondednruNotaryPancljnderwiHarb
- Haam a.k Moore,
Print Name of Notary Public
rIAOY I%
Notary Public State of Florida
Hannah E Moore
My Commission HH 017099
Expires
07/01/2024
STANIP
PERMIT At
ISSUE DATE
y� PLANNING &• DEVELOPMENT SERVICES
Building & Code Compliance Division
m ,
BUILDING PERN11-r
SUB -CONTRACTOR AGREEMENT
AAPEX Electric
(Company Name/Individual Name) -- have agreed to be
the Electric
(Type. Trade) — — "'-' ' --- Sub -contractor for Adams Homes of Northwest FL, INC
(Primary Contractor) —
For the project located at S� � S Lr<�- 1, `�!
(Project Street Address9�x�operty Tax tD - Z L_T_
It is understood that, if there is any change Of status regarding our participation with the above menti.oned
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.
�T"�toltSIGNATURE (Qualifier) W. Bryan_ Adams
29179
COUNTY CERTIFICATION NUM1jggR -- —
State of Florida, County of .St LUCIe
The foregoing instrument was signed before me (his day of
MaYGh 20?I,byW•BryanAdams
who is personally known or has produced a _
as identification.
(7
�L
Sit nature 0f Natar I v W o
y Public
In n n rt��VQ 0 0 f J
Print Name of Notary Public
3 I t ► (z�l
SUIi.CONTRACTORSlGNATURE PRINTNAM1IE -
C Y CER7IFtCg' ' NeJIL
State of Florida, County or!E L•.ur;e-
The foregoing ins7rument wag signed before me this I
0.Y LIA Jay of
K
�.20 Eby
%4 ho is personally known or has produced a
as identification.
S7'AM1iP 2pttAYvua�4 JAJ61E L HARNER
i alure of Notary Public r s My C-6AAMON a GG 089122
EXPIRES aril 2, 2021
�nF zoo Bud et Notary SEw ces
nQmrry W
��
� Notary Pubbc State of Flpnda
Hannah E Moore
Revtstxi 1116/2016 �;� p` My COmtntsston HH 0 17 099
q p0' Expires 07/01/2024
PERMIT #
ISSUE DATE
"on
PLANNING & DEVELOPMENT ,SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Pca�r' � f� L' o e r (Compaliy Natife/► ii,
the duifl Name)
/�
have agreed to be
(Type of Trade) Sub -contractor for
r✓ Guests t F� T
For the �" ( Primary C ontractol )
project located at _�' L��
(Project Street AddressP'Property Tax tD #) �!
It Is understood that, if there is any change Of status regardin our
project, the Buildin and Code g palticlpation with the above mentioned
€ Regulation Division ofSt
filing of Change OfSub-contractor notice.
CONTRaCTORSICNATURE --III
(Quafifirrl
PRINT N,1ME
UUNT} CERTIFICATION
NU�IBER —��
State of Florida, Counly nr
The fore Dine instrument nas sinned belbre me this
2I day of
V
+vhn is persona � n ��N•�� �
✓or has produced a
as identification.
Signature of Notary Public
STAMP
Q�.
Print Name of Nota r• ��
ry Public --
"''°°��: PATRICIA ANN GRIFFIN
MY COMMISSION # GG137624
Rev,.sedllilG/?p(6 r,«f EXPIRES September26,2021
Lucie County will be advised pursuant to the
C RA TOR SICN,ITURE `I
(Quulilirr)
PRINT NArQ C - Q
COU� RTIFICATION iN IiBER --
i U
State of Florida, County or F ^,
The furgloing instru
ment "as signed before me this'
[��,,�r / day of
r r b) 2ghUL e. 1 SO
++ho is personall /
v n [/
ar has produced a as identification. _ -------
Signature of Notary Public
--� STAMP
Print Name oa o,.�ryublic
PATRICIA ANN GRIFFIN
My COMMISSION # GG137624
EXPIRES September 26, 2021
PERMIT„
ISSUE DATE
�`t.4}. R2 \x'? 4C-tFts�. �'0 i°JI'lyi 1'1J l-1, \: \ I1\ <J l , _
�; & UL� ELOPMENT SERVICES
Building; & Code Compliance Division
'
tit'ILDINC'. PL,Ri�tl �
SUR-CO TRACTOR n(aui:,LENT
'' ------ -- - - ha1'e agrcc(I to be
iting ny \:ime mein I(NaI Name) - - ------.__ _...- --- _ .
tllc Rooting
f(}r Adams Homes of Northwest Florida, INC
•----(l"�•lte of Cr:)(1�} __-----------.._..._---.__.—___-.__---•---------------
' f frim:u')' ('omrcrturl
}or the project locateci at
�Pruject.StLvel Ad(hess or I'rut)eM, T;ix ID •`.} — - __...___...._.
It i, understood that; it -there is am, change ofstatus regar(hng. our participation %\;ith the abok'e rIlerltioncd
project; the littilding and Code IZc"tll(ltloll L)R'I,It)n tl( St. I.LICIC C'OLI111V tS;lll he ads i,ed pursuant tO the.
Filing Of it C'h (n,c of Sub-001I1Yacr(lr notice.
1 •
<.(1\�IR\C'l (>• � ..: iC77*(Zl, (()u;ilificrj `
William Bryan Adams
i--..
-'-.._... - --. .
l:(11'\'I'1•(•b:R'rll'r(•4'I'If)� \1.?IHF:I! �--`-----'----
StAte01Florida, cu¢nrcorSt. Lucie
7 hr ('urc uip� fn;n'untcnt a;n sirncd hefurc me rtris t
,rlZjl,,._William Bryan Adams—
n ho is persulinll. knun'ri -)LOr has praduccd a _-.-- _.._.----_--
ns idcnfilit:ttion.
k-- --
Cignalarr al' \'nran' Public
r_
tf _►_1_G_Vi.. _ --
I'rinr Sane• of;\'otar� I'uldic
ja Notary Public State or Flprida
Hannah E Moore
My Commission HH 017099
kc-, i icJ I I I b -' )r. Oa n� Expires 07/012024
- 3(11 -Z.
5[i6-C:O\"1'R.IC"CC rC;"%I[:Rl pralificrl
-_ oqqnr�� - C-��cr<<..a.._t..u.
rar'r :�Amlr
C.'(,1[:�"I'1' C'ISR'I'tFIC'AT'rC}X \'[ :t•IREIt ��
Y:rtc-tfFlurida,('ounrruf Sf Lucie
rii, furcgoiug instrrrnrtarc u:r.r' .rigncd hetirrc nu this
--
\\hu is personally knot\a .c-Or has prodtreccl a _
a5 idcncifrcatian,STAMP
/ —. --- --- -_..--
Si�nnlurc of n'olary Public
a_nn_U n_PubMOO
Pr \'a It nl'\'otan lic.
-'--
N
Nae P State crf
Hannhoorelpr'da
yCommison HH 017099Ees 07/01024M