HomeMy WebLinkAboutSub-Contractor Agreement,k
PERMIT
ISS
UE 0;��TE
ifiii R11
PLAN4NI:N(; & DEVELOPMENRVICES
Buildi
JIPIG...', ",Code Compliance Division
BUILDING-PERNTIT
SUB -CONTRACTOR A'6REEMEN-r
AAPEX Electric
--(Company Name -n-d--iVidu--a1,N'---' have agreed to be
am,)
the Electric
(Type ofTrade)Sub-contra or for Adams Homes of Northwest FL, INC
(Primary Contractor)-1---
'For the project located at�,ja3
J,
(Project ect Street Address or Property Tax ID
It is understood that,,) there is, any change' of%s!atus regarding our participation A the above mentioned
%,I ion with
project, the Buildin
.-g.and Code Regulation Division of St. Lucie County
will be advised Pursuant to the
filing of a Change 01f'Sub�*c�'Ptractor notice.
TFtACTOIt SIGNATUFkjQ
uaiirie r)
W. Bryan Adams
PRINTNAME
29179
C6uWy—EcRf,FFC—AT16-K-�-
St2tcof F1ok'd;3,�C'u,,y'or,St. Lucie
The foregoing instrument me this
day of
1_—, 202-(. by W. Bryan Adams
who is personaUy know. Orghas,produccci a
as identification.
Signaturg of STANI
2ry)UbU, P
n nb
Print Name of Notary Public
—
Notary P011C state of FlprOa
Hannah E Moore
RevisW 1,1 16/2016 MY COMMISMon HHr017o99
OF Expires 07101/2024
A^0%
SUB CO1NTR4CTOR SIGNATURE (Qu al i fier)
NUM-1&—R--
State of Florida, County oris-T—LA—x
The foregoing instrument was signed Wore me this A Jay of
-20"by
"'110 is PersonaUy known X—or has produced 2
25 identification.
"'Sky PU,
JAXE L RARNER
�iature of Notary Pubtic My GNAMON # GG 089I22
EXPIRES' *12.2021
B4:ndk P% Ou&,el Notary Servicesaw OF -0)
Name
��
Freint Ni
0
PERMIT #
ISSUE DATE
PLANNING & DEVELOPMENIr SERVICES
r,a Building & Code -Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
P
orpaC.
(Cm
Name) have agreed to be
the —�^.; r a l
SLib=con. tractor for'
a
(Type of_Tl:ade).'.:, L
(Primary Contractor)
For the project lacated at
(Project Street Address or.Property,Tax ID #) --
It is understood that, if there is any'cliange of status, regardin
g our participation with tile mentioned
project the Building and Code Re.gt lation'Division of `St. Lucie County will be advised ursuant
filing of a Change of Sub -contractor nol�ce 6, r p to the
CONTR.aCTOR SIGNATURE (Qiialilier)
C RA TOR SIG,NA7•URE --
(Qualilicr)
PR(VTNAME ,/ 1 r �+
PR7NT NAhfE Q -77
USJ V
COUNTY CERTIFICA I ION NUMBER
State of Florida, County ofCOUNT1 CERTIFICAT Or 'NUMBER~
Th•e foregoing instrument was signed before me this State of Florida, County of .
day of .
�ccGt
�-n
The I'urcgoin; instrument was signed before me This < day,ol.who is persona( ;Z , by�
�r has produced a beilaWusso
ivho is'perso 'all'
as identitication. 4' I ,n �or has produced
as identification.
Signature of Notary Public STAMP
Signature of Notary Public STAMP
�Irq6e-fotary public _ �jl_ A �t /•i•^
Fnnt Name of Notary Public
s""•°e�c PATRICIA ANN GRIFFIN
MY COMMISSION # GG137624 PATRICIA ANN GRIFFIN
Revised I lil6n � EXPIRES September 26, 2021
016 '= MY COMMISSION # GG137624
EXPIRES September 26, 2021
PERMIT7
ISSUE DATE
FE :�i
PLANNING & DEVELOPMENT SERVICES
Building & Code Co.m Iifa
ee_6-vis_in—
BUILDING B,.Eg1V
SUB -CONTRACTOR AGREEMENT
%
XAIC have agreed to be
(CompanyNaTr/ln'aiJjdFuai-.?�aj,�e)
the
YY�(TySub-Cont fact
Or for
i4r"'f Trade) Ad&= Hw= 0(NVtMreA Fbdda. hr-
(Plimay Contractor
For the project located at C7 9
(Project Street Addr
ess Q r Property Tax ID t$)
It -is understood that, if there is-any,chd"ntus re6�'
gieof status rdIng'OUr participation with the above Mentioned
project, the Building and Code Regulation Division of St. Lucie County will be,advised
pursuant to the
fil'IrIg of a Change of Sub -contractor notice.
1,mAk- I UK SIGNATURE
(Qualifier) r —
SUB -CONY SIGNATURE (Oust Adam Hanes of N"MeM RWW hit,-
PRINT NA Nf-E,
rKuliT NAKE
COUNTYCERTffICATION Nl1M11BER-------------------- (V05 (10
COUNTY CERTEFjCATION
State of Florida, Cauary NlfrFB E R
State or Florida, Co.unry of l u_Aa.e-.
The foregoing instrument was signed before me this day of
'Wflfiar� The foregoing lnslr6n�,.r was signed before me ibis day -of
2A by Bryan Adams
20JL by Zeo
20 is P rs. �n� I I y k.
014'0 -6r has producer) a
as idenfificatin W66 is per a'oally known✓ ar has produced a
as ideoriacmio-, :STAMP
..i biguaturc N STAMY
SHELLEY A. SEPLIEVEDA
Fr 0-1 r?
Name of Notary public . i " tiYJY 6 Q Uc, hVzcq
p ri a I Name 01 No Lary r lic
SHELLEY-& SEPU
LVEbA-,:'- -
My COMMISSI-04#(36�62074
I :A E6 2:2 74
2023
G A HN
'd OU L JO So"
Public
_S le of F o"da
EXPIRES: Januaq 25,2023 IIIHAID DOUGLAS JOHNSON
Bonded ThrV Notify PuNc VirldwWo4n NolaryPublic Slale of Florida_ Revise
C,0fnMiS5non#GG08482I
Ex
0
MY Comm Expires Mar 20. 202 h
Bonded wo,'
Nalary Assn
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERN.1ICES
Building & Cade Coniplianec plvisibn
BUILDINiC, i't,It�li
SUB -CONTRA TOR :\G,R1.1.1I V 1`
have agreed to be
Wop)pa.ny Name tndi� idual Named
Cite Rooting =
t , ' — —_ __._-�______� a Sub -contractor for _Adams Nomesof Nortnwestlonda, INC
(Tti per. cif Trt)dc} _µ - — - ----- - — __
(Primary ('omr:tctof)
FOr the project located at
(Proj..cl Street Atldress or Property Tax Its �I' '-• ---�-------------
id Is understood that, if tht re is anY'01a1lg12 of Stains rrgarcling our parKicipation tvi.th the. above mentionccl
^+� ' Pi eject, ifie Building and (:cute ke ulation`Divisif)n of St_ Lucie County Will be advised' Ursuant to the
filing of a Ch�qigt of Sub -contractor notice.
-.'
St)F3-Cai\'TR.lcf SiGNAPURI hirlifci)
William Bryan AddTr�
- 1 S�a�rn Cnuct_ -`
irril; r ��n' PRf` f .n1r,
cd)r\I1 cF;R(fFrLCLR7Et•`------ C) '1U;IBER -- --
` atxfc of ! IOrid:f C Uftnho. St •LICCfP . , S( �UCre3 ,
- St:i.te Uf htetrula CauntrpF_ '
I lic?C�i i otnh torn urtte+tt'.+ i, sr ned fmforc me mis —
�_ 1'hr Fgregnur{ nrstrtrmcu( ,ears signed before rrtc (has. 1 _,day of
_ (,tom zti 2t !„ Willi m•Bryan ArJaniS ( �` < `J oyU n n P (U t
Who is persnnstlfe known. or bas produced a ___ _ who is persanAlfv knnwn_Z( or hiis'produretl u
9t'i�tcnhfi�ation. ' • � -' .. • :ts i.dttitifrcafiou.
STAMII
5ign;�tnri0f\0ian•Publi- --""
- i- _ Signafure of �btary-Pubfic
Hon ou
1 riot unc oC \'ofar} I'ublie
- Ro 0 -k
Print Senreot \ovary Public
P � Notary PUtwfc State rN Flprfda
Hannah E Moore •►� 111110
Note a
�•f My COmmtssfon HH 0.17099 +� ry- Ufa S,tafe of. FLpnda
ttc:is;:dlt ir,._f))6 '►o►R6• Expires071011202d
Hannah E,Mgore
A' � ,My COmmisfltort.HH.017099 -
lop . -,Expires 07/61120N