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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