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HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMITS ISSUE DATE PLANNING & DEVELOPMENT SERVICES 0 Building & Code Compliance Division -- - -- ---- - BUILDING PERMIT SCANNED SUB -CONTRACTOR AGREEMENT BY St. Lucie Count, C-, I (-° ' ✓I Cl have agreed to be (Company Namt 4ndividual Name) the 9,i n C., Sub -contractor for a ' bit (Type of Trade) _ (PrimaryCuntractor) For the project located at 5(tI7 f�iM1? ((ap (L! CAgC)o7' Lu�9- ��c3 aCk7' I (Project Street Address or Property Tax ID #) i It is understood that, if there is any change of status regarding our participation with the above mentioned f 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 co ., IGNA oaG"Iv) Ad tmi ttotwol Notaavest nwida Inn PRINT NAME 9l cotnrrviceRmncAT[onnuM cR State of Florida. Couaty� The foregoing IMtratomt wM algned be6xeoK tW ITday er &AA4-1 20-9bby William Bryan A msl wbolapersonallyaawnI- or bar produceda M Wmtlaaticy STAMP algMaR of Notary PaWC SHELLEYA SEPULVEDA SHEUM&SMUVEDA 25.20 Revised 11110016 _ SUB-C"CTOR SIGNATURE(QudlSer) CeOV-0e_ �. l rUIGk Q(l�L PRINT NAME Cagr19 9 State of Florida, County of 5T. w Ge The foregoing lutmaxenlgwnrigned beforeacerah dayof �201,by &2"e 1Z-CY..li�t5hrr'AG who Is pereanallyhnown ✓erbasproduceda_,.__,__._. to Identification. -� ara ofNotary 3 � /b AAA STAMP SlgMi'abtle (r -66V-QYr( DCi...P.GtisiS �OhN.MIYI Print Name of Notary Publid RICHARD DOUGIAS JOHNSON Notary Public - Stale at Florida '•i. ' Cem04ssIQ1 f GO 004921 ;yt,��opo.;` My Comm. Expires Mar 20.2021 ^•......• em4e4Wwgb Nalmal Nalary0.sm. PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division . i BUILDING PERMIT SUB -CONTRACTOR AGREEMENT I e�ISOM lei 17 R �—l.J 5 f tf m�Ir.�{� I DzA VV sCILilecs .rNc (Company Name/Individual Name) the (Type For the project located at SCANNED BY St. Lucie Count/ have agreed to be Sub -contractor for Adams,HwmQ1N%**,ea PWkf brl (Primary Contractor) (Project Street Address or ProDefty Tax — mfks -fit.') r—ut r)— 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. CONTRATTOR SIGNATURE (Qualifier) Adam HORM d NmttweM Rwidk hlc PRINT NAME 049i F9 COUNTY CERTIFICATION NUMBER State of Florida, CanaryitpA-�' The foregoing instrument was signed before me this Jeday of te)C v .zBl4 by WilliamBryanAdams who is personally known __'or has produced a as identification. STAMP SHELLEYA. SEPUI VEDA Print Name of Notary Public SHELLEYA SEPULNEDA MY CGMMISSION # GG 262074 EXPIRES: January 25, 2023 . `9�n°�'• Bondod Thru Nobly Pub0c Undowilets Revised 11/16/20 SUB -CON I SIGNATURE (Qual tier) '51 rneo.7� PRINT NAIVE aq (05(0 COUNTY CERTIFICATION NUMBER State or Florida, County of 'Yvk_. Cx'. / /T((hee���for�egooiiingg Instrument was signed before me This i eday of `.'y120nby_Q5W1 c,s^'lin l)i ✓Vs%NP.Z, who is personally known ✓ or has produced a as identification. � .q QIJ STAMP Signature of Notary Public K;0-fira 9 glcrs U0hYt5c✓) Print Name of NotaryPublic RICHARD DOUGLAS JOHNSON Notary Public - State afflofi0a COMR[SOn I GG 004021 ... MY Comm. Faptres Mar 20,2021 0.1dllr *N6o%ANakryAsm. PERMIT# ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT SCARari St. Lucie C��Y, Y •1 11 1 1. — I I-," 1 " `" " C:r have agreed to be (Company Namen ividual Name) the f ChQn • Csl Sub -contractor for WLS Or- fltrrl:.WA F Tn r (Type of Trade) _ (Primary Contractor) For the project located at Street Address or Property 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 Cou�lty will be advised pursuant to the filing of a Change of Sub -contractor notice. CONTRACTOR SIGNATURE (Qualitiery PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of Of F [C ClC The foregoing instrument was signed before me this I-Y— day of 24, byy f n 11 i 0M &irf r d& S who is persona v :n ✓or has produced a as identification. '�� Qze Stgnaturotary Public STAMP irN.a.c.'f �/JL�/Notary Public ' PATRICIA ANN GRIFFIN MY COMMISSION # GG137624 a)°'- EXPIRES September 26, 2021 Revised 11/16/2016 'f 0 State of Florida, County of S f �{(Gt The foregoink instrument seas signed before me this _achy of Int' ze'l(a iLsso svho is persoall or has produced a as identification. Signature of 10 tary Public �r t�I in Print Name oI f Notary Publie '•''' PATRICIA ANN GRIFFIN .c MY COMMISSION # GG137624 �r',%rory1y;°S EXPIRES September 26, 2021 STAMP PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division \- 2 Name) the (Type For the project located at BUILDING PERMIT SUB -CONTRACTOR AGREEMENT SCANNED t By S Lucie count,, have agreed to be Sub -contractor for ApamsHahesdNol***AFbrka.911n (Pftmary Contractnrl 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) Mams Home! of Northwest RwkW. Inc PRINT NAME • CUUN I Y CERTIFICATI�Oy�7rryNUMB�EER State of Florida, County ofyJA absP The foregoing instrument was signed before me this 4rd.y of &6060 20L, by William Bryan Adams who is personally known ✓by. Or has produced a as identification. Signature of Notary Public STAMP SHELLEYA. SEPULVEDA Print Name of Na SHELLEYA. SEPULVEDA MY COMMISSION # GO 262074 A, EXPIRES: January 25,2023 "•e.°�"�� Bonded Thai Nalary PubllcUMerwdlers Revised 11:162016 SUB-CONTRAC RSICNA.'rURE(Qualifier) sY�kl(��ae- PRINT NAME Coc t i 3 Co- 'S COUNTY CERTIFICATION NUMBER State of Florida, County of T-LN.CIG The foregoing instrument was signed before me this ]Eday of LIP&U 1/,z0l9,by-1'5fi4vi'S Y�1G1or .I r who is personally known ✓or has produced a as identification. ICscob w,I 9PA LIA&Al ew'l� STAMP Signature of Notary Public 1Ziohur� Do.rvLgJ �ohnSon Pnnt Name of Notary P lm =DOUGLASOUGLAS JOHNSObblic-State of Floridasion#GG0S4821. Expnes Mar 20,2021ynwtioawwyassn.