HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT* ISSUE DATE
the
For the project located
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT SCANNED
SUB -CONTRACTOR AGREEMENT BY
St. Lucie Count)
have agreed to be
Sub -contractor for d4�natto�sotNoNnwriFbttar tra
(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.
r
IGTA REM uvlIffv)
Adults N6mad Nol0wedt plorida, Ire
PRINT NAME
Jz 9
COUNTY CERTIFIGTION NUM ER
Slate of florlda, Couaty�
The toreros lattruraml wudgned before aw Oh _day er
:0-6to William Bryan mail
who Is known =or hu proda"d o
el_u ldmtlaull
STAMP
signature or Notary Public
SHELLEYA SEPULVEDA
Print Name orNotary Public
9HEL'OA.SEPIKVEDA
A EVIL.
VIR COMMISSION Ml32F2014
. 4 EVIRES:Jbnmlf15 202s
!t.• EorrOadttwNlmyple0eUldeleMra
Revived 11116R016
SRI
SUB-C"CfOR SIGNATURE (Quraaer)
GeoIrile R. (2rUI0.k�y1Q/1�L
PRINT NAME
�q�99
COUNTY CERTIFICATION NUMBER
Scatter Florida, Couuyof kC. WCA6
The foregoing lutrumeal war tigeed before aoe thh_ day of
ralj..byCT2Q:l a Q_Cr. irkShunl<
whohpenocalyknown ✓orhuprodoceda__—'--"_
as Idemm�tbu
C,�. /
STAMP
Slrytaro ofNohry Pab0e
1?1CGV- Art Dc>L.eal4S
�ohv�cr�,-�
Prlol Name of Notary PubLW
`���•
RICHARD DOUGLAS JOHNSON
Notary Public -Stale afFlorida
.,h,.oFe1op �
ComdSSIM f GO 084821
My Comm. ExpdeSMar20,2021
BreedW qh Naimo Nanry/sen
PERMIT#
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT SCANNED
BY
St. Lucie Cnl lnt-
" I """" " f - C(- I have agreed to be
(Company Name/1 ividual Name)
theMnchan;«1 Sub -contractor forQ�/j,7taNn do or- Ali ikWA41- P T
(Type of Trade) (Primary Contractor)
For the project located at � _ 616-'dn �
(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)
fell an &w kdam s
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of Ojf F 4C'fQ
The foregoing instrument was signed before me this _ day of
20_, by/Illl i8m &api Adamr
who is persona y :n ✓or has produced a
as identificatti'iio/onn.''����
Qe
Stgnaturotary Public
STAMP
J N.6.c/A � /tfTl�
Print Name o(Notaty public
•;.eie�;, PATRICIA ANN GRIFFIN
- MY COMMISSION # GG137624
1�c?' EXPIRES September 26, 2021
Revised 11/I6/2016
State of Florida, County of ,5�ut
The foregoinIi instrument $vas signed before me this _ day of
_br. Robed R .Della 'Russo
who is persogall vn r/or has produced a
I
as identification.
I
STAMP
,--a
S,,i/g^na!ture of Notary Public
4
Print Name of Notary Public
I
..... %• PATRICIA ANN GRIFFIN
MY COMMISSION # GG137624
%',o••M, EXPIRES September 26, 2021
PERMIT p
gem
COUNTY'
Fr
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
1 NsoM W a a-ow's f
(Company Nartie/Individual Name)
the
(Type of Trade)
For the project located at570i
BUILDING PERMIT SCANNED
SUB -CONTRACTOR AGREEMENT BY
St. Lucie County
y"t�tnl� �ZAtN St3rLJIC S •r,oG have agreed to be
Sub -contractor for Adamstlanesd Nortmeg PlodQa.trra
(Primary Contractor)
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.
CONT1L�RSIGrqiTURE(Q..I,�fie,)��
Mama Hwm d Nutwest tRaWa, bra
PRINT NAME
0�19/7f
COUNTY CERTIFICATION NUMBER
State of Florida, County
The foregoing instrument was signed before me this _ day of
aalCii by WiIliamBryan Adams
who is personally known ---�.r has produced a
as identification.
STAMP
�br71`nhlrc
SHELLEYA.SEPULVEDA
Pnnl Name of Notary Public
_ SHELLEYA. SEPULVEDA
MY COMMISSION If GG 262074
d EXPIRES: January 25, 2023
Bonded ThmNatxy PuMc Und&vfflR e
Revised I1/1620
SU&CONI' SIGNATURE (Qual fier)
M•V,C 3.n�•.�t
PRINT NAIVE
COUNaq c� �
TY CERT�ICATION NUMBER
State of Florida, County of 3`T: u! cxe.
The foregoing Instrumeott was signed before me this _day of
. 20LOLby ZOAY c.r^'I;rs �1i✓Y%f AAd7,
who is personally known ✓ or bas produced s
as identification.
� "�" it.t I STAND?
Sigguuatu�re of Notary Public
�%f. end Qcs-49ta3 r7ohvtsc-r')
Print Name of Notary Pbblic
,: "�nT>'„••.
RICHARD DOUGLAS JOHNSON
NolaryPuhlic-Slate of Florida
- •:
Commission a GO 084821
ya,orr-J,
MY Comm. Expires Mar 20,2021
Bated Nv.Rn Nalond Navy Ann
the
PERMIT# I I ISSUE DATE
(Type
For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
St. Lucie County
have agreed to be
Sub -contractor for AdalmHmesatNoflhwts9ftrlda kA
(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.
CONTRACTOR SIGNATURE (Qualifier)
Adams Hanes of Northwest Flake, Inc
PRINT NAME
COUNJ I/ TIp NUMB�EjR
State of Florida, County of 7dNfI1 Y Ise
The foregoing instrument was signed be —fore me this _ day of
. 201 by William Bryan Adams
who is personally known s' or has produced a
as identification.
Signature of Notary Public �`—
STAMP
SHELLEYA.SEPULVEDA
li Name of No
,•':+:'e4;. SHELLEYASEPULVEDA
MY COMMISSION k GG 262074
;.:d=' EXPIRES: January 25, 2023
,^•e'�' Bonded TIN No" Pu68c Underwdlers
Revised 11:162016
SUB-00NTRACWR SI0N&rURE (
32 is i-a S Y✓t..el C. e-
PRINT NAME
� to $
COUNTY CERTIFICATIOON NUMBER
State of Florida, County of •-L.qC'-18
The foregoing instrument was signed before me this _ day of
2ut9,by PxigVa-,J. YylGlont?u
who is personally known ✓or has produced a
as identification.
Sc``�s•(M`.1 sntLs.A 11-.b t STAMP
Segnature of Notary uhlie
�it:har� �a la t?ohnSon
Print Name of Notary P tic
.;;.::'P,;�:,,
RICHARD DOUGLAS JOHNSON
Notary PuGic -SWIe of Florida
< : •
Commissim#GG084821
mm My Co. Expires Mar 20,2021
NbNryA0