HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSPERMIT* ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building&Code Compliance Division
BUILDING PERMIT
SUBCONTRACTOR AGREEMENT
SCASN�NED
St. Lucie County
�_n �1 V1 (✓ I C_ Cal V1 C, have agreed to be
(Company NameAndividual Name)
the �'r,tQoJ Sub -contractor for �'aN�A'�
(Type of Trade) (Primary Contractor)
For the project located at 753�? \ 3a n �2t lc►,P kin � C4
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.
N GNA ua l er)
M&rre HW%of Naawtett Pkndb I=
PRM NAME
COUNTY CERTIFICATION N_U-MIlIEERR
Slate of larlda, CoaoryFor&
The rareaoiaE Imlrueml wutlgoM before a Olsy_d y of
�r 2algey WilliarnBryanA MS,
who bper000a0y move crhuprodu Wa
u Wmtlaeatt
STAMP
Sllmtoro of Notlry PabEe
SHELLEYA SEPULVEDA
Prlat NameofNohryPahac
{A. ". SHEMA.SEMVWA
AIAY CQMMISSION 9 O d
EXaiWPIRES:JelY5�,2W�AatMrdedlHNtlotetYAUldan7lea
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5U&4.ONn1aCrOR SIGNATURE (Quaa&r)
Q1emrae. R. ar-UI C kSbanlL
L�avlr1I I
COUNTY CERTIFICATION NUMBER
Sfah of Ronda, Conoyaf, �., W tAE
The fort(oiaE lutrumeatwms1ped heferene:1h6 3 doyof
<F4Nt✓ .20jjby a��a�sge R_C'x..urx chcNll<
wbou Pe Ity hoe" Zer hu Produced a_.._�..___.
u Ideotlau0on
,l
L�I)'Ien.N. .L AL
AA>' �. STAMP
Sl;aatero ofNohry P�Wle
lv];C 1V C AV- A no A21 W
PAa1 Name ofNotary Poh
oinc.
-
RICHARD DOUGLAS JOHNSON
Notary Puhli c -State of Flonda
Comm;ssion 9GG084I21
MyComm.Fxpires Mar 20, 2021
NalwMNCxyAw.
PERMIT #
�iN�i.�LZ,A4--�-%.'/''�Y�•vi-y-..�iryrc"yi�
rCO,CINTY� �,w,.
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
St Lucie County
have agreed to be
the yCifRC� Sub -contractor for Adam Homes ofNoMwestFWkIAIA
(Type of Trade) (Primary Contractor)
For the project located at
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 Homes of Northwest Florkik Inc.
PRINT NAME
COUNTY CERTIFICATION BIp�/7
Stale of Florida, County o� itP
The foregoing instrument ways signed before me this 3 day of
20Iq by William Bryan A isms
011U/t
who is personally known _or has produced a
u idenlifi
STAMP
Signature of Notary Public
SHELLEY A. SEPULVEDA
Print Name of Notarl
SHELLEYA.SEPULVEDA
MYcommissiON#GG262074
?•x, aPi EaPIRE&January 25,2023
": ik°�'• Bonded Diu Notary Public Urdewrgeis
Revised 11/162016
COUNTY CERTIFICATI N ZBER
State of Florida, County of I L CIQ
The foregoing instrument was signed before me this 3- day of
'SUta % , 201q by L� rr� Z w�. a lmavM1
who is personally known �or has produced a
as identification.
LLJ S/e STAMP
sigliature of Notary ILc
;YAMJo
Print Name of Notary Pbblle
_••"y',v a�; RICHARD DOUGLAS dOHNSON
o` k
+, so-, Rotary PuNic - Slate of Florida
Common #GGO64821
� My Cwnm. Exµres Mar 20.2021
•L
Bmt40aWugh N2LunLNooryAso
PERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
1 = Building & Code Compliance Division
BUILDING PERMIT* SCAN
NED SItl1V�SCANNEDSUB-CONTRACTOR AGREEMENT 11
BY
St Lucie County
I
-'NC have agreed to be
(Commpanypany Natpellndividual Name)
the
(Type of Trade)
For the project located at
Sub -contractor for Ada sHomesoiNeremestpwida,hra
(Primary Contractor)
(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.
CONTRACT OR SIGNATURE (Qualifier)
Adana Hmlea of NorbmstIFINI ,hra
PRINT NAME
COUNTY CERTIFICATION NUMBER
�
Stale of Florida, County
The foregoing instrument was signed before me this J_ day of
Ut'1-e� zolg1 by William Bryan Adams
who is personally known __ or has produced a
as identification.
STAMP
SHELLEY A. SEPULVEDA
Print Name of Notary Public
u?'e�'••. SHELLEYA.SEPULVEDA
•g•{,�p MY COMMISSION# GG 262074
•a te: EXPIRES: January25.2023
'°��^:°•�•' Bonded Thm Notary WMc Urdemrilers
Revised I III620
SUtiCONT SIGNATURE (Qual tier)
�vSf•rt �f,r 5,.„.�.a�
PRINT NAIVE
aG cam'(0
COUNTY CERTIFICATION NUMBER
State of Florida, County of 3r lyGe
The foregoing Instrument was signed before me Ibis J day of
SVrdE .z0&by ZE�Q)�wlrn 0ieyn_44e2.
who is personally known ✓ ar bas produced s
aspp identification. ..pp
_JIX41 0iAA1� at / /t3'fL•wA nlssJ STAMP
SLgoature of Notary Public
Ki r. r d_ Qc"gw 'Jo hnsU't
Print Name of Notary P66lic
••'iw'oi;•••.
RICHARD DOUGLAS JOHNSON
:
*:
NalaryPuhfic-State of Florida
CommissionfGG0114521
V �orr�-w
•
MY Comm. Exp'aes Mar 20,2021
BuoM NwgA Nagai NOW/0.5Sn
PERMIT #
C �.-ter=,- �_•,
COU�NT�Y �.� ,
�r 1' to
::r .
the
(Type
For the project located at
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
} 2
Name)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
St. Lucie County
have agreed to be
Sub -contractor for AdamaHomesatNtxthwestFlatda ilia
(Primary Contractor)
Street Address or Prooerty Tax 1D
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-CONYSIG RE (Qualifier)
Adams Homes of Nocft,wt Florida, Irtr:
PRINT NAME
COUNTY CERTIFICATIOO NUMBER
State of Florida, County of 7dNSA F -sp
The foregoing instrument was signed before me this _ day of
�a✓1� . zBL, by William Bryan Adams
who is personally known ✓ or has produced a
as identification.
U STAMP
Signature of Notary Public �—
SHELLEYA. SEPULVEDA
Print Name of No
"�*:'°�'•+ SHELLEYA. SEPULVEDA
- MY COMMISSION # GO 262074
r•n? EXPIRES: January 25, 2023
Bonded Thor Notary Public Underwriters
Revised I1r 1&2016
PRINT NAME
CLC_- l i J O CD 'j
COUNTY CERTIFICATION NUMBER
State of Florida, County of '-L_�tCI e
The foregoing instrument was signed before me this ) day of
TVN� ,zBl9,by_lxxiarl'S. W1Glovte�
who is personally known ✓or has produced a
as identification.
S—ignatTre �ry P^
iQ^A AR.M�STAMP^
chwrL Do., la-ohASon
Print Name of Notary P tic
-------------
RICHARD DOUGLAS JDHNSM
h, �:�•'-
NotaryPublic-Stanot Flaida
Canmissim#GG08021
e''
'*• ;'
My Comm. Expires Mar 20,2021
Fm-,d lkuoh National Notary Am