HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT 6UANNE®
SUB -CONTRACTOR AGREEMENT BY
St. Lucie County
"_>t '1�1 01 C. I E CJVI r__ have agreed to be
(Company NameAndividual Name) JudatlreHomaaf NatOnvdit pl*dda, 01a
the 9'( 0 lnJ Sub -contractor for
(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.
(VI�ICT tGNA• u.I er)
/VlaM M01na at ttaarxest F Icl I=
PRINT NAME
COUNTY CERITFICATION NUM ER
State of Forlda, Coaoty� q
TherareEolol lastrumeolwu dgaed herorawthia dayof
-=0-8ey William BryanAarns,
who Is personally known/ or hu produced a
u IdandOtatl
STAMP
sipmmn of Notary Pahtle
SHELLEYA SEPULVEI)A
Fdat Name of Notary F*but
9HEUEYASUMVEDA
? ?; MycoMM18SION#00252074
i�•. EXPIRES: jmildtY25,2023
Ser"11vuNd" PAII; MaetYera
RevisedI1116d2016
FIRM
SUBCONI'R#CTOR SIGNATURE (Quatleer)
�'�eov-tee. �. C�° rui ck�ctnlL
PRIMP NAME
'3Gr]9g
COUNTY CERTIFICATION NUMBER
State of Florida, County of •T• WCIS
The krtfoloFiutrnmeolwaa dFaed Wore areth6!�__ dayof
JJNC 20jjty C;!: .e tQ. lZ_'C it_L'SV11<
wholipenooaltyhao" ✓orhupndoceda_____._.
u ideotlaotbo.
C� � A
Q r.• t�'tan.[Q_ aY. /LAYd(t.d✓�
�
STAMP
S tare of Notary Pabtle
`-tiGt"Car.-t Dcuales
1?rlMNa=*fNot@ryFsbBd
�ohv.s�r,
.,,•oajwr n' "••.
�•`'�.� =-
':'�aJa'„•`
RICHARO DOUGIAS JOHNSON
Notary Public -State of Florida
C0mm;s1iW#GG084821
My Comm. Expires Mar20, 2021
Emded hough Nalawl Nocq A+m.
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT c
SUB -CONTRACTOR AGREEMENT y'CANNEL)
BY
St. Lucie Counttr
the tgrA(� Sub -contractor for
(Type of Trade)
For the project located at
(Project Street Address or Property Tax
have agreed to be
Adams Homes of Northwest Florida, br-
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.
CONTRACTOR SIGNATURE (Qualifier)
Adams Homes of NoMwvst Fluids, ine.
PRINT NAME
COUNTY CERTEFICATION B
State of Florida, County
The foregoing instrument was signed before me this t-_day of
20 _lq by William Bryan ams
Ogfyt
who is personally known _or has produced o
AdFE��
, �) STAMP
Signature of Notary Public
SHELLEYA. SEPLIUVEDA
Print Name of Note
:✓•"� SHELLEYA.SEPULVEDA
'�• •�'' MY COMMISSION 9GG202074
'•r 7.•ej EXPIRES: January 25.207.3
?o: •L>,t;: Bonded1bm Hatwy PudltUMervrtkom
Revised 11/162016
COUNTY CERTIFICATI N 2MBER
State of Florida, County of t L Cie
The foregoing instrument was signed before me this 4—day of
'SUrKc .a01q by 4)C tr�7 Z P�r1flrv14y�
who is personally known Zor has produced a
as identification.
9w STAMP
Si fiI]lature ofNotary
� hilt 0
-•�
RId.nR.l 11 a..w�a1 VOi.ule,u
Print Name of Notary Pbblic
,+.•';'v o�;+.,.
•`+°.�:e
RICRARDDOUGiASJOHNSON
Notary public -Slate of Flotilla
Cummissimli GG064S21
. .,weir eacr,'
,,.
MyComm.Expires Mar20,2021
BOMtdamgANalb.a NoayAssn.
PERMIT #
COU,NTY�
,
YF,"LSO"sdR`Y
I�,D A�,
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
(Company Nanle/Individual Name)
the P� lit y� ti N01
(Type of Trade)
For the project located at
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
)2AW SdW(cc&_-
6CANNED
BY
St. Lucie COuntY
have agreed to be
Sub -contractor for AdannHomesdNaBweaFloddatna
(Primary Contractor)
Street Address or Property Tax
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)
Admen Hanes d NaBnvest Pmld%b '-
PRINT NAME
COUNTY CERTIFICATION NUMBER
Stoic of Florida, County
The foregoing instrument was signed before me Ibis day of
3uV 211lq by William Bryan Adams
who is personally known _-'or has produced a
as identification.
STAMP
LS,gealat eaf I4otl,pPublre
SHELLEYA.SEPULVEDA
Print Name or Notary Public
�+:+^.'�'••. SHELLEYA. SEPULVEDA
g• MY COMMISSION#GG 262074
p EXPIRES: January25.2023
m2:E;�n°'' Bonded Thro NotaryPublIcUndorwnters
Revised 11/1620 11
sUB-CONT SIGNATURE (Qual Ber)
>ySr.MV.r S.hc.�t
PRINT NAME
aG &5 t0
COUNTY CERTIFICATION NUMBER
Slate of Florida, County of
The foregoing instrument was signed before me this y day or
OUN6 .20&by Zxenj M/ n iiimea eL
who is personally known ✓ or has produced a
as identification. 1 .q /� � e
�ICi'f M4�M STAMP
Signature of Notary Public G
1\If-FY.IC-a VCA-t9tuS 170hy,sc�r'I
Print Name of Notary Public
oiiara/;-
•T.�
-_
RICHARD DOUGLAS JOHNSON
NolaryPublic-State of Florida
Commission#GG084821
'^r
'•�'ori�sfi�''
My Comm. Expires Mar 20,2021
BontleJ evmigA Naaol Noary Assn.
PERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company dividual Name)
the _
(Type ofTrade)
For the project located at
(Project Street
SCANNED
BY
St. Lucie COuntV
have agreed to be
Sub-contractorfor AdamitlomesoMmUrwestRorAIlls
(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) SUB -CONTRA R SIGNATURE (Qualifier)
Adams tialleid Northwest Flodda, kta
PRINT NAME
COUNTY CERTIFICATIOMNUMBEER
State of Florida, County of 4wT KOy
The foregoing instrument was signed before me this y day of
-i20 q,bey William Bryan Adams
who Is personally known s' or has produced a _
as identification. ^1
U / STAMP
Signature of Notary Public
SHELLEYA. SEPULVEDA
Print Name of No
"�^Y°�"•. SHELLEYA. SEPULVEDA
's MY COMMISSION # GG 262074
;•i+r EXPIRES: January 25, 2023
'•e.'�o`b�` Bonded Thru Natary Publle Underwdters
Revised 11; 16,2016
tic. e_1
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 3T-L.Xt.C.1 t:
The foregoing instrument was signed before me this 4 day of
07u NG , zol9, by aic0 i. JIIt'
who is personally known ✓or has produced a
as identification.
s`� t_-)n- 0n y LI.Ohr1� STAMP
Signature of Notary Public
1Zichar6 l)osavlab-t�hnSOFI
Print Name of Notary P 11,
•'�i:�aiy(.;
RICHARD DOUGLAS JOHNSON
,': •^' o:
Notary PuNic-Staleol Fkddo
(h 1 •_
Commission#GG084821
.
My Comm. Exftes Mar 20,2021
.........r:
F.: Moowgh Natiord NohryAsm