HomeMy WebLinkAboutSub-Contractor AgreementPERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
® - Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
=�I�IAM IA% tn/�
have agreed to be
Adams Homes of Northurest Fbdda tr-
(Primary Contractor)
For the project located at 736— G- r-
(Project Street Address or Property Tax ID #)
k,--umpany Name/Individual Name) -4N
the PI � rnh N
L_ Sub -contractor for
(Type of Trade)
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
filing of a Change of Sub -contractor notice.
COA MAL I UK SIGNATURE
(Qualifier)
Adams (tomes of Norte We4t RWKi , tna
PRINT NAhrE --
C�?q/11)1
COUNTY CERTffICAT10N
Sla Ic of Florida, County q
The toregoiug instrument was signed before me Ibis
day of
William Bryan Adams
who is personal) u
Y known � or has produced a
as identificahoo.
�Sigaata,e o{lyvtatpi'utiii STAMT
SHELLEYA. SEPUI_VEDA
Print Name of Notary Public
''°� •, SHELLEYA SEPULVEDA
MY COMMISSION # GG 262074
EXPIRES; January 25, 2023
.r°' °`°P' Bonded Thru Notary Pudic Undafwti(ets
Revised II/16/20
Lucie County will be advised pursuant to the
SUB O CNY R SIGNAT NATURE (Qua�ficr)
PRUVT NA11¢
as
COUNTY CERTEFICATION N1fN5ER
State of Florida, County of �TT- u-A ae
The foregolog Instrument was sigoed before me ibis IZ day of
—� Z by er►�c,r✓I?r, l�i✓x�f IneZ'
who is personally known ✓ or has produced a
as ideatifieali°o.
11
Sigaature of ota Nry Public
RiP ,Ycx Q� egt� t?ohrx�err�l
Print Name of Notary P' lic
o; r P ;a,.•
?• �:
_ • �•� '
;vFnr s`OP;
RICHARD DOUGLAS JOHNSON
Notary Public - Stale of Florida
CAmmiss'0 p GG 084821
MY Comm Expires Mar 20. 2021
Bonded inraugn National NalaryA5sn
t,
PLANNING & DEVELOPMENT
Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREENIENT
Pad, e
(Company Name/I tividUM Naine)
the H
(Type of Trade)—�
For the project located at
Sub -contractor for "I ��(PI unctor)
(Project Street Address or Property Tax ID tt)
have agreed to be
It iS understood that, if there is any change of status regarding our participation with t
project, the Building and Code Reo the above mentioned
bulation Division of St. Lucie C
filing of a Change Of Sub -contractor notice.
C�O�NT4CTOR S[CNATUERLE (Qu�titicr)
PRINA AME k"•'-"M 1 1�
COUNTY CERTIFICATION NUMBER
State of Florida, County of
JadLdu cli
The foregoing instrument %vas signed before me this` Z
day of
by
%vho is persona y •n
!' or has produced a
as identification.
Signature of Notary Public STAMP
iP1' • r' ICI
Name of Notary Public --
•'Byc; PATRICIA ANN GRIFFIN
MY COMMISSION t1 GG137624
Revrsedll/It/2016 "F4f EXPIRES September 26, 2021
ounty will be advised pursuant to the
C RA TOR SICNATURE
(Qtt:tlilicr)
r; C • b-6
0�LkSS o
PRINT NAM1IE
COUNTY CERTIFICATfO` NUMBER
State of Florida, County of F
.uGt
The foregoing instrument %yas signed before me this /Z
_ day of
/b) .4ic't)
%vho is persorjall vn f� or has produced a
as identification.
Signature of Notary Public STAMP
firm, Name of Notar
y�Publi,�4�--
APTRICIA ANN GRIFFIN
MY COMMISSION # GG137624
EXPIRES Se tember ��'!!� P 26, 2021
I
•
�1
PERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERNIrr
SUB -CONTRACTOR AGREEMENT
AAPEX Electric
(Company Nam /-1ndividua1 Name) -' -- have agreed to be
the Electric
(Type of Trade) --`— "-" ---- Sub -contractor for Adams Homes of Northwest FL, INC
(Primary Contractor) —
For the project located at — _
(Project Street Address or Property Tax ID x) — — — —.
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.
TRAC'r0lt SIGNATURE
• (Qualifier) -_ " � "--- _ . . "
W. Bryan Adams
29179
COUNTY CERTIFICATION NUM1IBER —
Stare of Florida, County of St Lucie
The foregoing instrument was signed before me this [a— day of
a4a'r . 2021, by W. Bryan Adams
who is Personally known or has produced a _
as identification. ft
hLn k
(SEignature of NotaryO�
Public
a n n 1�l0o r
Print Namc of Notary Public
SUB -CONTRACTOR SIGNATURE (Qualifier)
l
PRINTNAME
COUNT Y CERTIFICATT Lj_ NUMBER
State of Florida, County of14A L_Lxie—
The foregoing ins7rumcni was signed before me this daY of
who is personally known 'or has produced a _
as idenfifcation. —
S7•AMP �as�YP`I, JAAELHARNER
i ature of Notary Public t t MY G6AAMON # GG 089122
EXPIRES April 2.2021
"OF F,°! BmdM T'et Bo&e1 N'ataryServices
n' nt Name of Notary Pu be—
,p Notary Public State of Flpnda
Hannah E Moore
Revised 11 16/2016 My commisaton HH 017099
ora Expires 07/01/2024
f
PLANNING & DEVELOPMENTSERVICES
Building & Code Compliance Division
Butf.otNG Plad�u r
SUB-(:0NTftAC'rm ACRE EINIENT
E\1 C1��ivicftlal.Name) Shll- 18
( on)pany Iv
the Roofing
- I ypi
have agreed to be
Sub -contractor fol. Adams Homes of Northwest Florida, INC
(Fritl)ary Contractor) _T --- —
For the project located at
(Pruj cl Sueei Address or Property Tax It) III
It is undcrstocld that, if there i any Change of status regardin' OCII• participation wi,til the above mentioned
project, the. f3tlildinL, and Code Re-plation Division of St. Lucie County Will bee advised pursuant to the
Flling of a Change of Sub -contractor notice.
William Bryan Adams
COI'\'1'1' C'EK'l lf'IG\'I'IUN NCkIHFiR—'------
State of Florida, eluntt ar St. Lucie
SUf3-C:UNTH':\C..
3o�qnl)C�ctrc� a N1 �.
PRINT SAME' V— - -- --• — — - --
Cql,\'1'1' Cl;rtT'FFf(•ATTO\' \L�iVIHER-----,--- -
Slate or Flarith, C'nuniy of St Lucie-
rhe [ere uing lnserument t ,u si�ucd before tnc this _111_ day ul.' The forcgain irrstrumcnt aas signed lic•fure ma this '7 dar nl'
ZI William Bryan Adams 2n ?4t, tJoyU___n -Gl Yc �j PI U tq
who is persoiuiliv kitoi n -X-or has produced ii who is persoual(y knawn., _ur has produced a
as Identifieation. — —
M
//�� MANIP
aturcofr\'ofaryPuhtic Si�na(urcul•fininryPubl": S'rA•1P
Print Same ar �i tar} Public ---- � M- 1_..L---! 0 0 ! ^ ---
Print Smile orNotars Public
Notary Public State of Fir
YEE
Hannah E MooreMy Commission HH 017099 Stets W F�ndep oore7a pt7� Expires 07/01 /2024 HH 0170992024