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HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSthe PERMIT# (Type ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT Sub-contractorfor Adam tiornescc (Primary Contractor) For the project located at _nc)2 (Lck�o'�� zl�,A�evaf-�A' (Project Street Aaarcss or Property Tax ID #) SCANNED BY St. Lucie County have agreed to be 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. ONTRACTOR SIGNATURE (Qualifier) SUB-CONTRACWR SIC "ualifier) rKIN I NAME �VVN I T CEKI IFICATIPNNUMBER State of Florida, County I!�_absp The foregoing instrument was signed before me this 913— day of MCI,- 20 C1 by William Bryan Adams who is person2lily known has produced a as blenfifiCatiOn. A�i�� STAMP bignature of Notary Public SHELLEY A. SEPULVEDA Print Name of No VR". SHELLEYA. SEPULVEDA MY COMMISSION N GG 262074 EXPIRES: January 25,2023 Bonded Thru Notary Public Underwriters Revised 11:16,2016 S- Y-L�J PRINT LuIjNkgflAai��a State of Florida, County of 3T-uqCl& The foregoing instrument was signed before me this 9'_t! day of ck',j2019,by h[iCy1_,J. tV')CJ0n? —I �q who is personally known V�ur has produced a as identification. bign?tEu're Of �PiOt2ry Prubli# STAMP I' f�i Print Name 01 NO12 c ------------- .......... ROM DOUGLAS JOHNSOl, Wary Puble- State of Fdda z 00 Ccoarrussion#GG084821 MyQenm.ExIiTesIAar20,2021 PERMITO ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT Le (company SCANNED BY St. Lucie County have agreed to be P'(9 1 11114 the (Type of Trade) ,C� Sub -contractor for (Primary Conal For the project located at It is understood that, ifthere 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. PRINr NAME COUNTYCERIVICATIANNMIER State offlarlda, Coon"'Fr-6 The foreptal MWAlsa&Y'r M" 20-6by William Bryan AgIrl Will Is perwasny kno" arb"ll as ldmd A 2 STAMP re of Nattly e SHELLEYA SEPULVEDA Print Nam *114olary I SHEURY&SWAYMA WW =18SIONIll EXPI =-J2,%2W SOW Rewsedil/1641016 FIRM SUB-C70NTPfCr0R SIGNATURE (Quall FRINI'NAME ,a q r79 9 COUNIT CERMC&TION NUMBER StateofFlorlde, CDonlyar-Tv. _UACAe The fiarejoln Infirment was signed beim ine libb, af ld,y,f f_VILAI .2011by &S�"e fZ, Q_fir_V ShCel%< wW b Personally Im" Zor Ito predwed a " Identincatim STAMP PrImNamearNoterypabud RIC"10 DOUGUS JOHNSON Nolary Public -Stale of Pwida COmMssimOGG084021 MYCOmnExna�W20,2021 11,*d ho* Na,,� NoWqA� PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT &--&i CA M I Id N^ & trJ lb 'I D A (.V -9 CC& (Company Name/Individual Name) the — 0'I, U rnb� tic (Type of Trade) For the project located at (Project Street SCANNED BY St. Lucie County have agreed to be Sub -contractor for Adw=Ii0mesdNorer*edPIade%abr_ (Primary Contractor) 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) PRINT IIIAME COUNTY CERTIFICATION NUMBER State of Florida, County Fisr� The foregoiog instrument was signed bellare me lhisZday of M�N 10IC1 by William Bryan A who is PCr30n211Y known V"or bas produced a as identification. STAMP Signature oFN.ta.j Pubih— SHELLEYA. SEPUINEDA Print Name orNotary Public SHELLEYA. SEPULVEDA MY COMMISSION# GG 262074 EXPIRES: January 25,2023 BondodThruNctaryPublIcUnderwritars Revised 11116201 1 SUXCON�T SIGNAT (Qual fit,) 15��4 �^ M k-r '51 fb'te?'Jtff Z_ PRINT NAME CO2WECRTZICIAOTION NUMBER State of Florida, County of tYrt.�Acxe The foregoing Instrument was signed before me this 9a day of VYICA4 20&by be�n��M:n who is personally known v" arbasproduceda as identilicnition. Alec� jdt7� STAMP Signature of Notary Public C/ R; 0-cw 6 qtcs 90V)V'SC'q Priat Name of Notary Public RCKW DOUGLAS JOHNSOJN Notary Public- State of Porida GDfoflUssW#GG08492I ' 70.7�_' P MY Comm. Expires Mar 20.2021 11 PERMIT# T I ISSUE DATE I PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT BY SUB -CONTRACTOR AGREEMENT St. Lucie County have agreed to be the Kkl-AC— Sub -contractor for Adam Mines Of NOMMIest Florida- 1110, (Type of Trade) (Primary Contractor) For the project located at FSOLA ZO-A,—_,jOLT-e-A. (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) Adam Hemas d Northarest Florida. bsc. PRINT NAME COUNTY CERTEFICAT�ION '�Bn' State of Flor ta The foregoing Instrument was signed before me this _ day of Y`A�X�201CI by William Bryan �Mslrlw- who ispersonally known ez.'rhas produced a a 'd 'F s i catl STAMP Signature or Notary Public SHELLEY A. SEPUI-VEDA Print Name of Nato SHELLEYA. SEPULVEDA mycomMISSION#GG262074 EXPIRES: January 25,2023 Bonded Thru Notary PubilcUrderwrilool Revised 11/16/2016 C A-1 COUNTY C=ZN 2BER State of Florida, County of 51— Ly ee. The foregoing instrument was signed before me this_ day or 20�lq by &�,rrjir who is personally known Z. has produced a as Identification. U.-J 'D.J� STAMP Sigliature of Notary Pulblic Print Name of Notary Piriolle bl, RICHARD DOUGLAS JOHNSON Notary Public - Stale of Florida CournWon # GG OB4821 My Cwrn, Expires Mar 20.20j2i Bosdal Unto Wsoul Nouryium.