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PERMrr N ISSUE DATE
the
For the project located at
PLANNING & DEVELOPMENT
Building & Code Compliance Division
BUILDING PERMIT JUN 04 2019
& SUCONTRACTORAGREEMENT
6I,AIVi�tI� ST.. Lucie County, Perm
BY
L , St. Lucie County
;I ✓I C� have agreed to be
Sub -contractor for IWamOttOmtadNoNN6>trbdda Me
(Primary Contractor)
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.
PdMH=4cdN«anKsttlwda int:
PRINT NAME
COUNTY CERTIFICATION NUM
State of Florida, Cuaoty�
Teeforeaologlmtrreoentw sipdbeibmwtbh 3 deyor
-'TtAv%e iaLgey William Bryan A msi
wbo B personally anowo orbas prodateAa
as ldeneBeall�
STAMP
Sipmmee otNahry Pabue
SHELLEYA SEPULVEDA
Print Name of Notary Pabltt r
r
SHEWA.SMVWA
WCOMMISSION9002OW4
syy EXPIRES:JbnMA2W
BypgINSM MyP UUdwr1.
Ramod i 1/16n016
I MR
Cr=4 s1ONAT1IRE (Quasaerd `...
C eov��e R. (2rt t'i (2.k4) ok-
PRDfrNAME
caG99 1
COUNTY CERTMCATION NUMBER
State ofFlorlds, Couaq of V. WGE
The rorepolniutrum olwastied beroremthB-defer
3u..4p 2allbyCT"e IZ, Qr irxshunl<
wbo Is personally haswn Zor W predaed e_.__,.__.
as ldeotlaorilm
Q� Dmn� STAMP
so toe ofNohry P.bat -e
`lZQy' ArA DogtCES Z0V)V%&C- -1
Print Name ofNohry Pab
M
S JOHNSON
MIeuiFb4da
G084821
Mar20,2021
W No�mr0.ssti
111
PERMIT # ISSUE DATE
r77 ao wx,.n
CO«LINTY
:SFr[ b'3i�RrlcD.-
PLANNING & DEVELOPMENT SERVICES
D siL-L i 5
Building & Code Compliance D
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY I sT
St. Lucie Couniv
S0✓ICC&
(Company Nanue/Individual Name)
the Pl u mhi Nol Sub -contractor for
(Type of Trade)
For the project located at
(Project Street Address or Property Tax
JUN 04 2019
County,
have agreed to be
AdamsHomesof NolOrAzst F'krid0.ttle.
(Primary Contractor)
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.
C ONTRArFOR SIGNATURE(Qualifier)
Adam Homesd Noss test Fbdcf%ble.
PRINT NAME
COUNTY CERTD'ICATIOIN NUMBER
State of Florida, Countytft 1
The foregoing instrument was signed before me this 3 day of
_0�Ar2 .2a1G by William Bryan Adams
who is personally known --l'or has produced a
as identification.
STAMP
SHELLEYA.SEPULVEDA
Print Name of Notary Public
ovr�?gU,. SHELLEYA SEPULVEDA
'� MY COMMISSION#GG 262074
dF EXPIRES: January25,2023
s�:l:i.ri •' Bonded ThN Notary PWAc Urdmwnlers
Revised I111620
SUB -CO frRAerOR SIGNATURE (Qua] r
er)
vSA.�t krr 5f .� t:�atf
PRINT NAME
aq c,o'5 �
COUNTY CERTEFICAT1ON NUMBER
State of Florida, County of 37-t-s-s 'toe
The foregoing Instrument was signed before me this 3 day of
%Ju1`11G 20&byZeyia,yvlln �j meveL
who is personally known ✓ or has produced a
as identification.
t/rkOF/ys-r STAMP
Siiggnature of Notary Public
RifhGYd VCA-eggs uohv"%C11
Print Name of Notary Plrblic
a�µTa�&;;
RICHARD DOUGLAS JOHNSON
+.�. _
��•=
Nolaryftk-SlatedFlanda
ComnssianlIGG084821
?1.
••I... :
My Comm. Erphes Mar20.2021
Buded UMO Wail NouryA,,.
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Divisiop_
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT JUN 04 2019
juANNED
BY S•f. Lucie County, Permittii
t. L c'e Pnunty
C one C, a A) N U�✓ .M,' have agreed to be
�(Company Name/tndividualName)
the ML/JC, Sub-contractorfor Adams Noa3eaof NotBrres(FWdkhA
(Type of Trade) (Primary Contractor)
For the project located at
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 (Qvdiner)
Atim11mad, D?A Mc
PRINT NAME
COUNTY CE111TIFICATIONSUB
State of Florida, County oWn iP
The foregoing Instrument wu signed befo"me this -dayor
tY J xoly
William Bryan A arns br
r
who ispersonally� r personally haawa hasprodacd a
u IdeotlR a
STAMP
Signature of Notary PoMie
SHELLEYA SEPUIVEDA
Print Nan¢afNonq
;R.pr.s SHEU.EYASEPULVEDA
! MY COMMISSION# GG 262074
• •e; EXPIRES: January 25.2023
''7f;�iF°�• Bohddihru N?!nPuCae Und&Mbm
Revised 11/1612016
SUBCONTRACTOR SIGNATURE (Qualifier)
PRINT L
PRINT NAME
/3?79
COUNTY CERTIFICATION NUMBER
State ornorlda, County of S I. LVcle,
The foregoing lnstrooxut was signed Isdam me this 3 dayof
ZONE .2019 by Rtt"a "Iv Z
who Is paroon+ay known V or Wa produced a
u identification.
STAMP
S oaturaot'Not� Palo e
RlaePfIt AkAame fV ats 611e,0 NSoH
;,� �'..� .;
RICHARD DOUGLS JOHNSON
'+.`•�.
•""
Notary Public - Slzleol Florida
Commi5slon#GGG04821
`•Lw ,""
•„ rE W R�'
My Comm. Expires Mar 20,2021
Baued axwyn NaiiorA Non70.5m.
0
the
PERMIT# I I ISSUE DATE
(Type
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
(Project
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCASNVNED
St. Lucie County
=RECEIVED
have agreed to be
Sub -contractor for AaamaHanesotNoMwedtFlaldtl itfa
(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)
Adams Hanes of Nathwtst Raids, fats
PRINT NAME
COUNTY CERTIFICATIO�NUMBER
f 7dT�Cq a
State of Florida, County osp
The foregoing instrument was signed before me this 3 dayof
70%Avle 201CI ,by William Bryan Adams
who is personally known ✓ or has produced a
�S-g..t.r
asidentificati
�STAMP
Notary Public
SHELLEYA. SEPULVEDA
Print Name of Na
:*ae�'••. SHELLEYA.SEPULVEDA
.€•• MY COMMISSION#GG 262074
;,� EXPIRES: January 26,2023
-Z-t4 �`.'�` Bonded Thm Notary Public Under,"am
Revised I Ir 162016
SUB•'CONTRA RSIG/�ualifier)
PRINT NAME
_ Cc� I'1 to 5 3
COUNTY CERTIFICAT31ION NUMBER
State of Florida, County of t_t{L' 1 t5
The foregoing instrument was signed berore me this 3 day of
—JutiG ,rotq,by_h iavr"i. 1"C"oP,2.4-
who is personally known ✓or has produced a
as identification.
^ ti k—� Li.OR'LhdL�t STAMP
Signature of Notary Public
iZ'�hQrd 02! to 1�o1)ASO✓1
Print Name of Notary P lic
�'N:: a;; ••.,
Q-
RICHARD DOUGLAS JOH%ON
Wtafy PuGic-$fate of Fladda
Canmissicn#GG084821
:'
MyComm.EsprtesMar20,2021
6:k!tlllwigh NironlNdaryA55n