HomeMy WebLinkAboutSub-Contractor AgreementPERMIT #
ISSUE DATE
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N �T"pY�,4������;;
a
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
(Compan NameJlnd'v'd I N
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
y I i ua ame) have agreed to be
the Sub -contractor for AdaanKanaallorlhwestFbrtda,6fG
(Type of Trade)
(Primary Contractor)
For the project located at
(Project Street Address or Property Tax ID a)
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 SL Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
CQ IGTA ua I er)
Ad" Hwsu of Nw tweat Florid.Im
PRINT NAME
COUNTY CERTIFICATION NUM' ER
Slate of Florida, County
The faregolog Imtrwoeat was signed before we this aD day of
r, 201A by William Bryan APmsl
wbo is PwwaallY knowo___or bat produced a
as ldtotllleatl _..
sit -tore of (Vobry Pm
STAMP
SHELLEYA SEPULVEDA
Print Name orNotory Public
SHED YA.SEPUWEDA
MY COMMISSION N OCR 252074
EXPIRES: JwAWY 25.201
„ c.• ' BW*d Thru NMY PtAft Urdennten
Revised 11/10016
OR
----�—•--
SU CTOR SIGNATURE (QuaUlfer)
C1201r�e_ �. 1�1�1,t•I c��niL
PRIiY]' NAME .
CO r�Y CERTIFICATION NUMBER
State of Florida, Cog o;ty or !Ji• U•-1 GE n
The foregoing lwtruaieot was stoned before axe tbA (�! day of
r I L 2& by _CseGra�e 2 . ('_r�.c ti s ► ,� ,* <
wbo is personalty known ✓or bu produced ■
u Ideadfiatim.
aR- STAMP
Sltuature of Notary Public
�t'�ctra DcD c l e C Z50
Name orNotary Pnb1
RICHARD DOUGIAS JOHNSON
Nolary Public - Slale of Florida
Commission N GG 084821
My. Comm. Evres Mar 20. 2021
Bonded ihraugh NaOonai NouryAssn
L
PERMIT # I
• ISSUE DATE I ::
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEN /LENT
eo-4 n
(Company Name/I ividuaI Name) have agreed to be
the•Hyr-hQ.i; ca. I_ Sub -contractor for
(Type of Trade) ililtl e f wlo S 69 Af 1,14, d %r. C
(Primary Contractor)
For the project located at �33 g Sansit- 1017.
(r -oiect 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 Regttlation Division of St. Lucie Couiity-will be advised pursuant to the
filing of a Change of Stab -contractor notice.
CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of (��f� uCfi
The foregoing instrument %vas signed before me this day of
Y1L ,20a.Qby m
who is persona y •n /®or has produced a
as identification.
Signature of Notary Public STAMI
PP,
�'. � � � ILtnt Name of Notary Pu
-C TOR SIGNATURE (Qualifier)
r�. C. &110 l uss�
PRINT NA
COUNTY CERTIFIC TfOK NUMBERc�
State of Florida, County of , -Oi F �j I•w-e-
The foregoing instrument was signed before me this
Dday of
1' 1 �— by -l�obP Z da Rksso
who is persoriall vn ✓ or has produced a
as identification.
STAMP
Signature of Notary
►► Pub lic
Print Name oNo�ry Pubh �n
PATRICIA ANN GRIFFIN
MY COMMISSION # GG137624 oa►"Y!�e��- PATRICIA ANN GRIFFIN
EXPIRES September 26, 2021 i•'_ MY COMMISSION # GG137624
Revised 11/16/2016 `" . ' d4•°�� EXPIRES September 26, 2021
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Ameri-Tech Plumbing, Inc.
(Company. Name/Individual Name)
the Plumbing
(Type of Trade)
For the project located at
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for Adams Homes of Northwest Florida, Inc
(Primary Contractor)
Address or Property Tax ID #)
)off3-OOo 3
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.
` CONTRAC l'�ATURE (Qualifier)
Bryan Adams
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of Saint Lucie
The foregoing instrument was signed before me this _QD day of
f l r) , 202ADby 5) Ot, N iOd a YY9
who is personally known X or has produced a
as identification.
Signature of Notary Publki
u,l
Print Name of Notary Public -
' •
RICHARDDOUGLASJOHNSON
Notary Public - Stale of Florida
Commission # GG OS4021
My Comm. Expires Mar 20, 2021
OF
Revised lyl/1.
bltdfh�+Nat-aU*jA€,,
SU-CONTRAC AT E Qualifier)
Mark D. White
PRINT NAME
19769
COUNTY CERTIFICATION NUMBER
State of Florida, County of Saint Lucie
The foregoing instrument was signed before methisat> day of
A r tL 2QaQby �1rVI�AV �d Cl
who is personally known _xor has produced a
as identification.
STAMP STAMP
Signature of Notary Pub i
is ord b• Johnson
Print Name of Notary Public
o t� siv v�;A RICHARD DOUGLAS JOHNSON
= NolaryPublic-State ofFI ritla
Commission#GG084821
�°e5 My Comm. Expires Mar 20, 2021
Banded boughNalionalNolaryksn.
r
PERMIT #
COUNTY
P LORI DA-46
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
]Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name`Individual Name
the
(Type of rade)
have agreed to be
Sub -contractor for Adam}yoinesotNosttivrestFtactdcbift�
(Primary Contractor)
For the project located at s�- �SID Yl h Q h.P Gip M p
(Project Street Address or Property T ID D ))#
0-3
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.
CONTRACTOR SIGNATURE (Qualifier)
Adams Hanes of Naftttwest FtorW*. Lie -
PRINT NAME
COUNTY CERTIFICAT=NUMBERState of Florida, County
The foregoing instrument was signed before me this
day of
by William Bryan Nams
who is personal) ✓ Y known _byor has produced a _
as identification.
<�d
Signature of Notary public STAMP
SHELLEYA. SEPULVEDA
Print Name of No
SHELLEYA. SEPULVEDA
MY COMMISSION R GG 262074
EXPIRES: January 7.5, 2023
Bonded Thal Notary PUNK Underwriters
Revised 11 16 2016
Lucie County will be advised pursuant to the
SUB.!-��CONTRAC R SIC & RE (Qualifier)
PRINT NAME
I'33oeS1
COUNTY CERTIFICATION NUMBER
State or Florida, County of3TLk4c_le.
The foregoing instr�um�elnt was signed before me this day of
by _ 1�prtaVj 'S Y
who is personally known ✓or has produced a
as identification.
Signature of Notary;rublic v STAMP
Print Name of No
RICHARD DOUGLAS JOHuSOP.
l
Notary Public - State of Florida
• i
Commission # GG 084621
re .:
My Comm Expires Mar 20, 2021
hough NaWrial NolaryAssn