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HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division • BUILDING PEP.N11T SUB-CONTRACTOtt AGREEMENT AAPEX Electric (Company Name/ i;dividual 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 'AddresOPIrty Tax ID s It is understood that, if there is any change of status regarding our participation with the above mentioned project, the Building and Code RIegulation Division of St. Lucie County will be advised pursuant to the filing of a Change of Sub -contractor notice. TRACi'OR SIGNATURE "- - (Qualifier} - W. Bryan Adams PRINT NAME 29179 COUNTY CERTIFICATION NU^1BER .. — — State of Florida, County of .St Lucie The foregoin instrument was signed before me this g P day of ^ l— , 20 21. by W. Bryan Adams who is personally known or has produced a as identification. Signature of Notary public I V W o 1*ni l�toor� Print Name of Notary Public SUB -CONTRACTOR SIGNATURE (QualificrJ - L.Z. --- PRINT NAME t4Y CERTIFICg7v N N-:UL __ State of Florida. County or!EA_Ll)C.;e. The foregoing insirument was signed before me this - fr � /ydya�y�or� who is perionaty, known _V__or has produced a as identification. s7'AMP zo�µ'YPt/8' JAAIFLHARNER ti2ture of Notary Public* s MY GUAMON 0 GG 089122 o EXPIRES April 2, 2021 lF OF "I Bcnded P. -L 90ri el Notary Services riot Namebe— ,p gNp, Notary PUblIC State of Flpod. Hannah E Moore Revisod 11 16/2016 �rQ MY Commrseion HH 017099 �1 OF Expires 07/01/2024 PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT k�"'ZAMt'n% 17Rt"t.l S fft &,Jj _ tZAvV S�1e,—C �N t,l-ompany NaMe/Individual Name) the aj rn� N (Type of Trade) �--Sub contractor For For the project located at 0 3yg (Project Street A have agreed to be Ad&=Hotnasof NorBmnm MmAn•.tl>G (Primary Contractor) -M &--Wi C ess or Property Tax ID #) It is understood that, if there is any change of status regarding out participation with the above mentinned project, the Building and Code Regulation Division of St filing of a Change of Sub -contractor notice. CO R SIGNATURE (Qualifier) Adams HWtes of Nol West Ronda, tna PRINT NAIVIE --� COUNTY CERTffICATION State of Florida, County gs_r� The foregoing instrument was signed before me this day of �— 2 02_1 by William Bryan Adams who is personally Iennwo __1.`r has produced a as identificarioo. �'> m*a*7 Public STAMP SHELLEYA. SEPULVEDA Prior Name of Notary Public '•°° •, SHELLEYA. SEPULVEOA MY COMMISSION # GG 262074 EXPIRES: January 25, 2023 ••,nf it P: a : Bonded Thru Notary Revised I I/16/20PubOt Undtxwrilars Lucie County will be advised pursuant to the SUB CONT SIGNATURE (Qualfier) Sm, Z PRpVT NAME .aQ co'r5 (., COUNTY CERTffICATION NUMBER State of Florida, Co,uaty of 31- u.eae The foregoing losrrumeot was signed bcrore methis day of 20 who is Personally luiowo ✓ a has produced a as ideatificatioo. 'Signature of Notary Fublic STAMP l C Y Cti �%J`-e qt� V d i'1YsbC.✓1 t rlor Name of Notary ritiblic :: o•� PrB,., ?: �•ar RICHARD DOUGLAS JOHNSON Notary Public-Slaleof Florida Commission 0 ^•••• GG 084821 My Comm Expires Mar 20, 2021 Banded lbrovp Nabonal Nolary Assn I PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT I -Ai Hea4oior D ((Company Name/[ ividume)al Na`r the &j (Type ofTrade For the project located at have agreed to be Sub -contractor for "d Q ��no __o� Alydi.� (Piunary Contractor) (Project Street Address or Property Tax ID #) It IS understood that, if there is any change of status regarding our participation with the above me project the Building and Code Regulation Division of St mentioned filing of a Change of Sub -contractor notice. CONTRACTOR SIGNATUREkda (Qualifier) PRINA ANIE �� —�21 _� t..OUNTY CERTIFICA7 r0\' NUMBER State of Florida, County of Q( &e(i The foregoing instrument was signed before me this day of 24 by who is persona y 'n Or has Producedlaa as identification. Signature of Notary Public STAMP Print Name of Notary public :t""•°B�, PATRICIA ANN GRIFFIN MY COMMISSION # GG137624 •f` Revised I I/t(,/?OI( ' "' �; EXPIRES September 26, 2021 Lucie County will be advised pursuant to the -C RA TOR SIGNATURE (Qualifier) r!.c.�o�SS� PRINT NAME COUNTY CERTIFICATfOO-N NUMBER State of Florida, County of , 0i— F p�cmt The I'uregoing instrument was signed before me this 5 n day of I is persor}all vn �or has produced a as identification. Signature of Notary►► Public STAMP me oN Print Naot.ry Public n PATRICIA ANN GRIFFIN N MY COMMISSION # GG137624 ?d°' EXPIRES September 26 2021 PLANNING & DEVELOPIbIENT SERVICES Building & Code Compliance Division �eC� �bo (t'oinpany Nanle:ln(iividunIN ane) tl)e Hoofing - (Type of Tilde) - -- BUILDING Flu -I, SUB -CONTRACTOR ;\CRGIi1ILN7 have agreed to be Sub -contractor for Adams Homes of Northwest Florida, INC (Primary Contrartorl For the project located at (I'rujecl. Street Ac dress or Property Tax ID 9) It is understood that; if the -re is any change of status regarding our participation ��;ith the above mentioned project. the Buildin1; and COde Regulation Division Of St. Lucie County' «will be advised pursuant to the filing Of a (.hetlgC Of SUb-contracror r,ollce. _._.�-----•- William Bryan Adams 1411i COt'\'I'1' C'b:[t'fIF'IC'A'1'lUN \U\I$IiR-- S(atc of Florida, County of St. Lucie The fort."oing Instruntcrtt tits signed Itefore me this dxg of 2112t b • William Bryan Adams__ n fill �s_persemtlly hnotrn _,�,_nr bns produced a a'.s identification.STAMP Signaturr of \niary Puh:ic fl- OwnG V1__W10 0 V.e Print Pubilr `— Notary Public State of Florida Hannah E Moore My Commission HH 017099 kctiscdll lb��tll6 '►apt? Expires07/0112024 SnB-(:Q\"►'R;�C C -- 'IGtiA 'I:RI )uulificr} _JoQ(qrn (-)gfC'-a1140 COL\"Il'CI•;ItTEF{CAT'FOt'\(;11131?k--_—"----� - SPnte of Florida, (nuns, of St Lucie_ T'hc frrrcgning insG trmeu(ins sigacd hc•thre me IEii; S day al' who is personnif} known-" nr fills produced a as identification. Sigirnture of No(nn Puhfic �-- STAMP ffg_Y_i_�1_R AI-_M� 0 0 Y - ---- Print Nanw of \otar) PohlIC a llotery PubhC Stet& of FlpndaHannah E Moore My Commission HH 017099Expires 07101 /2024 PIUtq