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.