HomeMy WebLinkAboutSub-Contractor AgreementPERMIT # ISSUE DATE
i
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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
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BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
/ - Al r Alea4I elQ fen' I have agreed to be
(Company Name/Ilyettviaual Name)
the HoChp,A; C&I Sub -contractor for FhWILS or— A(rMAW&i �.�
(Type of Trade)
(Pi•iinary Contractor)
For the project located at P1 Dy YV I .? V G V1D R V .P 13 0 -1 U b- 0 o-1o- o o 0- g
(Project Street Address or Property Tax ID #)
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.
CONTRACTOR SIGNATURE (Qualifier)
edam
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of o a ui
The foregoing instrument was signed berme me
this -L day of
03b, by®®"I ;OM lArjaqji
who is persona y n s�or has produced a
as identification. a
Signature of Notary Public STAMP
il�cii,� 1L&PrN.nefoNotary Pu
PATRICIA ANN GRIFFIN
o _ MY COMMISSION # GG137624
EXPIRES September 26, 2021
Revised 11/16/2016
.I
State of Florida, Countv of F '(G{
The foregoink instrument was signed before me this -) day of
►"li�l —,1! by-�Oi?P eltQ kxssi
who is persorall vn t�or has produced a
i
i
as identification_
�,
Signature of Notary Public
Print Name of Notary Public
r'€`•�""� PATRICIA ANN GRIFFIN
r'c MY COMMISSION # GG137624
EXPIRES September 26, 2021
STAMP
PERMIT #
ISSUE DATE
I
PLANNING & DEVELOPMENT SERVICES
• 1Building &Code•Compliance Division
®�®=� BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name -individual Name, ?
the have agreed to be
(Type of rade) Sub -contractor for q,"times 0HFWA.hA
)
For n the project located at 1 i�}.�/
�Y 77Y (Primary Contractor
(Project Street Address or Property Tax ID /J) � 1 -�0U- oDO O o
It IS understood that, if there is any change of status regarding our partici`
project, the Building and Code Regulation Division of ct L Panon' with the above mentioned
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATU `
RE (Qualifier) �
P,dams Homes of Northwest Florida, tf1G
PRINT NAME
COUpq
NTY CERTIFICA71ONUMB�EpR ------
Slate of Florida, County 9f T
The foregoing instrument was signed before me this
I day of
A
z0`9, bbyy Willcyan dams
who is personally known v1 has produced a
as identification. —�
Signaturetft�Puryb�fc STAMP
SHELLEYA. SEPULVEDA
Print Name of No
SHELLEYA.SEPULVEGA
MY COMMISSION k GG 262074
:' EXPIRES: January 25, 2023
........
` F` Dended Thni Nola Publlc UnderwMers
Revised 11 16 2016
ucle County will be advised pursuant to the
SUB -CO NTRAC R SIC q
RE (Qualifier)
PRrn r NAME � v V�•�l t�..0 C�
c OUNTY CERTIFICAT ON N UMBER
State or Florida, C6unry or 3rl-k4(-Ie;
The foregoing instrument was signed before me this
G ( day of
AA, by. briQ✓1 'S ItilG1 on
who is personally known ✓or has produced a
as identification.
Srgnalure of. -7 ir-1.113lic V STAMP
►chard)6- lq o Print Name of Notary P lie h
"��• w m •., RICHARD DOUGLAS JOHMot.
t' c : Mary Public - Slate of Florida,.h', ' = Commission # GG 084821
'E' gJO My Comm Expires Mar 20, 2021
F..:f"!,d ih,ough NallorW NalaryAssn
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Ameri-Tech Plumbing, Inc.
(Company Name/Individual Name)
the Plumbing
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for Adams Homes of Northwest Florida, Inc
(Primary Contractor)
For the project located at V 0 4 IM I r CA n 0 0 v T 13 I j- 1 00 - -D b o o- o o19- 9
(Project Street Address or Property Tax ID #)
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.
:�: RACTOR SIGNAT (Qualifier)
Bryan Adams
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of Saint Lucie
The foregoing instrument was signed before me this I day of
20sLQ by �r V G, ' r "r G r I tS
who is personally known X or has produced a
as identification.
?4k�Pm�R"
Signature of Notary Pub
Rlfhard D. Jubr16DN1
Print Name of Notary Public
RICHARD DOUGLAS JOHNSON
a° �.`� Notary Public -Stale of Florida
" + Commission # GG 084621
ov My Comm. Expires Mar 20, 2021
' "� aondeC through National NotaryAssn.
vised l•Ir'G$/2016
Ap"
SU -CONTRACualifier)
Mark D. White
PRINT NAME
19769
COUNTY CERTIFICATION NUMBER
State of Florida, County of Saint Lucie
The foregoing instrument was signed
'before
�Y /m'e this I day of
20LQ by 1ry tit
who is personally known _for has produced a
as identification.
STAMP STAMP
Signature of Notary PtfblW
_RICHO rd '
Print Name of Notary Public
r, RICHARDDOUGLASJOHNSON
"R'Q� t\btary Public - stale of Florida
z • 4 Commission # GG 084821
o�= M Comm. Expires Mar 20, 2021
y P
Bonded hmgh National Nolaryksn.
ISSUE DATE
w JAs'
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
—11' `- `'' r' have agreed to be
(Company NamcAndiyidual Name)
the (Type of Trade 9-j-a 0� Sub -contractor for'I"'�"";H0"1"°tNoftltwd3tt�ocidal,
i
(Prim 1lfy Contractor) •
For the project located at . I' 1 0 D- D 0 1 U-
(Project —'Street Address or Property Tax ID
M�ireV)D )qw
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.
r
co-- �AGNA ui I er)
/lduft Homes of Nathwt st FWKIk I=
PRINT NAME
COUNTY CERTIFICATION NUM ERER
State of l%rida, County;'
The foregoing lostrwomt was aligned before me Ws I day of
2,18 by William Bryan!4emsl
who is personally known or her produced a
as tdenin—k
SlVture of Notary Powe STAMP
m
SHELLEYA SEPULVEI)A
Print Nalne of Notary Pablle
! :; SHELLEYA.SEPUWEDA
MY COMMISSION O GG 292074
EXPIRES: JtltAMY 25.201
e ►t, SmW TMu Notlry PoAk Wavilim
Revised I IIIW2016
` SU W�O�SIGNATURE (Quatllkr)
C1eOlr�e �. �rul c.kS in
PRINT NAME U
G99 9
uvulll J T CERTIFICATION NUMBER-
Stats of Florldo, County ofC• U-k e
The foregolog lmtruo eol was signed before soe"--L day or
by G�21e 2 . cry., ti 1-,«.1%
who Is penomlly known Zor her prodaud a
as Ideotlacatkm
Sigoafnro Of Notary Pabll l
STAMP
ti
'Pi:GY�Gra DcDnles
�ohy�echr�
Prlot Name of NotaryPoh
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• • ' =
RICHARO NSON
NolaryPuFlorida
Commis021
oFi1ow;:
M Comm.
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