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SUB-CONTRACTOR AGREEMENT
PERMIT # I , � � � � � 5� 9 II, I ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division REcerveo e , BUILIDING PERMIT '�N �' %oie u®I� WANNED SUB -CONTRACTOR AGREEMENT Pe►Mltting Departmen, BY St, Lucie County StLuclecoonti, Sr L (d C rF F-(A 97�hq r 4rof2 I-I&A A,47, r y have agreed to be (Com ny Name/Individual Name) the KO (, Subcontractor for S 7 L G C-f f Ahar-Tif -r S9 (Type of Trade) (Primary Contractor) For the project located at 7 701 T)!FFkPA?< Aug- J,-7 (Project Street Address or Property Tax ID #) I 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 I f St. Lucie County will be advised pursuant to the I filing of a Change of Sub -contractor notice. i S . (-.✓r_ t �LPo'13 a -- �-, J i�1� l i i (� vC't RQ F� l� JltL4,,q �� CONT CTOR GNATURE (!Dualifier) 9UB-C6NTRA&OR SIGNATURE (Qualifier) 'D. ( APLUAC3-0&k PRINT NAME COUNTY CERTIFICATION NUMBER �,,p State of Florida, County of The foregoing instrument was signed 1_before e�me t/h'iis� � day of .201.7 by 1S0 N� L)• LlJ �Y�DUI,UI who is personally known ✓for has produced a as identification. 6 liV STAMP Signature of N aryubli -T�&Y\o_ Lem AsW-k Print Name of Notary Public =Public State of FloridaAskmanion GG 174054912022 Revised 1111612016 a�__A ©,; Vo PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of _6 The foregoing instrument was signed before me this gf� day of 20J11 by a� f �. fatun who is personally known ✓— or has produced a /as identification. 0,0�, �Lly/[INM , I pL STAMP Signature of PPotary Public 1)6VIVIOL t-U, AVYXAAA- Print Name of Notary Public E,i n Notary Public State of FloridaDonna Lea Askmanoe My Commission GG 174054 Expires 0110912022 JOSEPH E. SMITH, CLERK OF,TV E CIR FILE V4438165 OR BOOK 4 PAS Permit No. State of Florida, County of St. Lucie IT COURT - SAINT LU(--' COUNTY 2944, Recorded 05/2:- 018 12:44:35 PM' RECEIVED ----------- ---- MAY 6 M013 Property Tax 6a6 The Undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. Legal Description of property and address if available !,/Aff WGcp 'CA lzi< &A,17 C 94 K Z 07 a1 1j4?l3///�1) (OK 3y.Ll/ -sy v General description of improvements Owner/lessee 5T . L �C _' r Address PERM Interest in property: 0 W L. t' 14 N K,' N Fee Simple Title holder (if other than owner) Address Contractor Address Surety Address Amount of Bond �C r fzFs?t�,�ck Phone # Fax # ` Phone # Fax # S Lender I Phone # I Address Fax # Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as pr by Section 713.13 (a) 7., Florida Statues: I It' Name PSe-)B C AL ktiQb J i Phone # `77,�2 1/64( t r 17 Address 76.2 S 6 7k( .S T 1-'-7 /' rlaa !66 Fax # T' -2 qbly z/3 >7- In addition to himself, owner designates J CSC !�r i c. 1- -4 of S'T 16 (,7F </.lI1=r9r 6�it �1L.+t i/ri Phone # 7 1 W ///7 Fax # 77,2 to receive a copy of the Lienor's Notice as provided In Section 713.13 (1) (b), Florida Statutes. Expiration date of notice of commencement is one year from the date of recording unless a different date is specified. WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTE�TIIE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CH.713.13, F.S., AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCMENT. P O- Owne—aee, or Owner's or see's A-uthorized Officer/Director/Pnrtner/Manager/ Signature Signatory's TWe/Onice State of Florida, County of Acknowle forr.Le this a3 , day of I Y&\ 2tl �$ , by who I ersonall know o me or who has produced as Identification. -lea Ayr Signature of Notary Type or Print Name of Notary P0" NvNotary Public State of Florida z� Donna Lea Askman Title: DVotary Public Commission Number J 7i (J 5 y `�y • My Commission GG 174054 i 'oi a Expires 01/00/2022 Instrument Prepared by and Return to: Anchor Lana Title, Inc. i IT COURT JOSEPH E. SMITH. CLERK OF THE CIRCU SAINT LUCIE COUNTY FILE # 4274923 02/07/2017 02: 2:06 PM R 9j'VED OR BOOK 3961 PAGE 548 - 54 Doc Type: E RECORDING: $18.50 Doc Tax: $73.50 MAY AY ST. Lucie County, Permitting 718 SW Port St. Lucie Blvd., Suite 6F Lawana M. Brown, CLC Port St. Lucie, FL 34953 17-3949N (772) 621-8255 Parcel ID No.: 1301-605-0118-000/4 warranty Deed SPACE ABOVE THIS LINE FOR RECORDING DATA THIS WARRANTY DEED, made and executed the day of January, 2017by Richard K. Woodin, Individually and. as Trustee under Trust "A" dated October 1, 2007 whose post office address is: 2431 Atlantic Beach Blvd., Fort Pierce, FL 34949, herein called the grantor, to I St. Lucie Habitat for Humanity, Inc., a Florida Corporation, whose post office address Is 702 S. 6th Street, Fort Pierce, FL 34950, hereinafter called the Grantee: (Wherever used herein the terms 'grantor" and 'grantee" inchide all the parties to this instrument and the hens, legal representatives and assigns of individuals, and the successors and assigns of corporations) W I T N E S S E T H: That the grantor, for and in consideration of the sum of TEN AND 00/100'S ($10.00) Dollars and other valuable considerations, receipt whereof is hereby iacknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the grantee all that certain land situate in ST. LUCIE County, State of Florida, viz: Lot 21, Block 44, of Lakewood Park, Unit No. 5, a subdivision according to the plat thereof recorded in Plat Book 11, Page 5, of the Public Records of St Lucie County, Florida. Subject to easement, restrictions, and reservations of record and to taxes for the year 2017 and thereafter. The land described herein is not the homestead property of the grantor(s), nor is it contiguous thereto; it is in fact vacant, unimproved land. TOGETHER, with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. TO HAVE AND TO HOLD, the same in fee simple forever AND, the grantor hereby covenants with said grantee that the grantors are lawfully seized of said land in fee simple; that the grantors have good and lawful authority to sell and convey said land,, and hereby warrant the title to said land and will defend the same against the lawful claims of all parties whomsoever; and that said land is free of all encumbrances, except taxes accruing subsequent to December 31, 2016. This deed can be signed in counterparts. IN WITNESS WHEREOF, the said grantor has sighed and sealed these presents the day and year first above written. F 4I IN WITNESS WHEREOF, the said grantor has signed 'and sealed these presents the day and year first above written. Signed, sealed and delivered in the presence of: Witness 41 SiAreLL�AAW I I i i P.SROWN A I Printed Witness it I V A Witness #2 Signature BARBARA A. WATKINS Printed Witness #2 j Trust "A" dated October 19 2007 / By:. Richard K. Woodin, Individuall and as Trustee COUNTY OF ST. LUCIE STATE OF FLORIDA I Z day of January, 2017, by Richard K. Woodin, The foregoing instrument was acknowledged before'me this Y Individually and as Trustee under Trust "A" dated October 1, 2007 on behalf ofthe corporation who is personally known to me or who has produced Driver's License or identification and who did not take an oa NA SEA �° � Amiss,'*. 0 00 .' ••. M ti` 0 �, �z ° a,• m'. a po � �o My Commission Expires: :a • ryEF87 till l 0 I f �% oG •" �6�i ��0 a• `O 00 Nfi. 17-3949N STAT . ibe ITN / Notary Si irre A M. BROWN LAW Printed Notary Name PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance.Division Buckeye Plumbing, Inc. (Company Name/Individual Name) the Plumbing (Type of Trade) For the project located at BUILDING PERMIT SUB -CONTRACTOR AGREEMENT RECEIVED MAY 21 C29118 ST. Lucie County, Permitting have agreed to be Sub -contractor for St. Lucie Habitat for Humanity, Inc. (Primary Contractor) Deer Park Ft Pierce, FL 34951 (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 SIGNA"T�U�RE (Qualifier) PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of 1 Lub—Z The foregoing instrument was signed before me this day of 20-ff, by !f ` bum.Gaao who is p rsonally known ✓or has produced a as identification. .4 I� Y/` STAMP Signature of Notary Publ c l !�dnm Lit, 0 1SI��n'10,h :o Y P% Notary Public State of Florida Donna Lea Askman My Commission GG 174054 'Qorwo� Expires 01/09/2022 Revised 11/16/2016 sUB-q6NJ&Acrq6 SI NATURE (Qualifier) Kevin L Gillum PRINT NAME CFCO25553 COUNTY CERTIFICATION NUMBER State of Florida, County of fl The foregoing instrument was signed before me this e—day of d 20`, by �� Q,V IC \ G I u f,"` � who is personally known : has produced a F as identifi 'on. S- AQI-E AQp Signature of Notary Tublic �lgyetl ggSOc �OTpR orb �LORIpA ggipSE FFA oirag A60 S �er. Camsni# �1912p19 Print ame of Notary Public : 1� �:0tv-1 'sftJCi 19 r` PERMIT # ISSUE DATE I COUNTY FLO R l D Ft PLANNING DEVELOPMENT Building & Code Compliance 131JILDING PERMIT S11.113-CONTRACTOR AGREEM visio EIVED MAY 21 2018 ST. Lucie County, Permitting ?(Vice have agreed to be ((;ompany NamGmnlvioutti !Name) a the 14J A Sub -contractor for ��'. i A 4 'r (Type of rade) (Primary Contractor) For the project located at (Project Street Address or Property Tax ID 4) 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. O. RAcToR SIGNATURE (Qualifier) PRINT NAME COUNTY CERTIFICATION NUMBER Slott of Florida, County of SLUA66 The foregoing instrument was signed before me this R day of kV .201I b1 KoheNl 1. ( dy ouel who dparsonally knownZ_or has produced a NT CTO GNATURE (Qualifier) OSc's�l�. �- • � C1�' PRINT NA11E COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was signed before we this b V or who is personally known. J_d�_has produced a as i[Milication. as identification. STAMP WAM 'tgnature of Notary Public Aimk gna ure 6f.Notnry Public �(V1YI/, Print Namc'af Notary Public Print Nam o Notary• PuDue NCO/i/R roPY °W� Notary Public State of Florida Donna Lea Askman =pEREZ My Commission GG 174054" poi ao! Expires 01 /09/2022 '"' �'= h1Y OO5Revised II/ ,n I ? ?- � �PIIR8j. rs PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT RECEIVED SUB -CONTRACTOR AGREEMENT MAY 21 209$ ST. Lucie County, Permitting L�7I?7C have agreed to be (Company Name/Individual Name) the FGrC Sub -contractor for �T' L Gl c4r /_o r-c^ wu q*,v�W (Type of Trade) (Primary Contractor) For the project located at 7101 Q (Project Street Address or Property Tax Ib #) 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. �CRTURE (Qualifier) -�O.r T) C � PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of . q / (LA The foregoing instrument was signed before bnefoore me this `7 day of 201 by 9YJY T. i who is p qrsonally known%or has produced a a s . en ntiific'natiion. E�/W°° � Signature of Notary Public DoMkL& A" 146- Print Name of Notary Public r -C''ONTRAC OR SIGNA URE (Qualifier) P ,S e,#- fg1zk ". kf PRINT NAME al n COUNTY CERTIFICATION NUMBER State of Florida, County of i" 1 The foregoing instrument was signed before me this _ 'J_ day of 20_1Z by 5 �t%Lj!5 who is personally known 'ko"or has produced a as identification. STAMP U". . . . a",� I,,- SilnKili-e of Notary Public Print Name of Notary Public io`7'0�4� Notary Public State of Florida Ry'Iss' Laurie Berry Donna Lea Askman y a My Commission GG 174054 �e S NOTARY PUBLIC +,xoF a Expires 01/O9l2022 c STATE OF FLORIDA Revised 11/16/ ' :s� Comm# GG072517 N e 19 Expires 2/13/2021 STAMP