HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENT_ SCANNED
BY
St. Lucie County
PERMrr • ISSUE DATE
I
r,. PLANNING & DEVELOPMENT SERVICES
o Building & Code Compliance Divisioln RECEIVED
.�,.,,a;: _-'. BUILDING PERMIT O C T 24 ?O i9
SUB -CONTRACTOR AGREEMENT
ST, LUC1e County, Perr
\ I
have agreed to be
the V't,p c Sub -contractor for
For the project located at s2j1 f (32) DQl12L'ifP+k)
(Project Street Address or Property Tax ID W) 1
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 -
CO IGNA ua 1 u)
AQuaf Halls at FtotOhrest ilWid� ItIG
PRINr NAME
�/ 9
CounnrycERTIPi TIONNUM ER
Slate ofPtarlda, County The forelfolos Immanent wslgud before one Ihh0'J day of
20_6by William Bryan Adams,
whn h perrro•IIY�owo=orhu prodacd ■
u Wmtlaeatt�.
Sigoallare otNahry Pabac STAMP
SHELLEYA SEPULVEDA
Priat Name of Notary Palate
SHEttSYaSEPUWEDA
MY COMMISSION 9 GO 202074
�+ ExpjRES:Jhwm25,2W
'' nagNTlwtbmry PlEFeUdtaadtera
Revised I1116r2016
State of Florida, Coamiy at �'T. W C.IE
I
The , foregoing I�"tminl was Sired before fix Lday of
G ilg by e R r ei Lc{ cn1<
who h personally know. Zorbas prodoed a_
u [scarification.
S.A�dCWWI• `L• I /Ln.gd(tr.0's'� STAMP
signature ofNotery Pubrie
RICHARD DOUGLAS JOHNSON
WWI Public - Slate of Florida
C0mrnSS1M # GG 084821
My Comm. Expires Mar 20, 2021
Bade E amugA Nilmal Na �y Assn
I
PLANNING & DEVELO
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
St. Lucie County
` have agreed to be
(Co mpany Nae/I iividuol Name)
the/�Qe fTrade) T.Im
(Type of _ Sub -contractor for,4ms A do of Il(A(,t or Ft. 1;7
(Primary Contractor)
For the project located at
(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 (QualilierJ
PRINTNAME�1s
COUNTY CERTIFICATION NUMBER
Stale of Florida, County of Q( f aui
The lerregoing instrument was signed before me this coal day of
&&Ai&- .20_by./UI IIiarol �irf /Q/J Q.oLamc
who is persona y :n ✓or has produced
as identification.
— e=A�Qx-fr
Signatureof Notary
� Public �/' STAMP
i
QitIQ 7/1 FFie)Name of Notary Public
.'+''��y:' PA=ANNN- MY y�c EX
Revised 11/162016 'r�"
COUNTY CERTIFI CATI N NUMBER
State of Florida l, County of , SQ/n F �tt ct t
The I'oreguine!.imtrument was signed before me thisIAd day of
—s .b>12obP�a eita Qusso
i
who is person:ill vn r/or has produced a
as identification.
S�ignatn
re of Notar�hc STAMP
aAcn r1 APnr Notary Public
Jp iy%.
PATRICIA ANN GRIFFIN
MY COMMISSION # GG137624
EXPIRES September 26, 2021
�l
PERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SER
COU_NTX
��ts/oM lfJ D tt�-w's
Building & Code Compliance
(Company Naroe/Individual Name)
the R L-, no 1 Nc
(Type of Trade)
For the project located atti
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
_iZAVV SdLJICC&:
OCT 24
ST. Lucie County,
have agreed to be
Sub -contractor for Ada=tiemesdNottirreestFbAde,bm
(Primary Contractor)
Street Address or Property 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.
CONTRAZ46R SIGNATURE (Qualifier)
Adams Heromd Naildwiest Ftorttla. Inc.
PRINT NAME
COUNTY CERTITICATION NUMBER
State of Florida, County �iq
The foregoing instrument was signed before me tbio* day of
4�Ifr C1 by William Bryan Adams
who is personally known V�`ar has produced a
as identification.
` STAMP
6+gnaM+e of lfnfai7 Pnbbe
SHELLEYA.SEPULVEDA
Print Name of Notary Public
SHELLEYA. SEPULVEDA
MY COMMISSION N GG 262074
EXPIRES: January 25,2023
Bondod7bruNotaryPuNc UnderwNlm
Revised I1/I6/20
SUB-CONT SIGNATURE (Qual tier)
�'JSo.NL yr St.vL �.�t
PRUJT NAME
COUNTaqcY CERTn'ICATION NUMBER
State of Florida, County of 3'r-u-sGe.
The foregoing
Instrumentwassigned before me this Ajday of
20& by 15ew'1)..Mln 3i/a'sCsACL
Who is personally known ✓ or has produced a
as identification.
Altiicti_� ,te /t
/I STAMP
Signature of Notary Public
Ri CiYlY d QcL w John c 'q
Print Name of Notary Phbiic
lie
;; •';Tdl,, RICHARD DOUGIAS JOHNSON
`+• Notary Public -Stale of Florida
Commission # ED 034821
yt•orr.'•. My Comm. Expires Mar 20, 2021
amEd asn9N Naliool Nohry 0.ssn.
PERMIT #
T Lt} 414...
COUNTY
F L O R I D A
the
(Type o
For the project located
ISSUE DATE
PLANNING & DEVELOPMENT
Building & Code Compliance
BUILDING PERMIT 1 OCT 2 4 20'9
SUB -CONTRACTOR AGREEMEN
ST, LUCI® County, PerFl
2aoT • .y g
Narne) have agreed to be
Sub -contractor for pAan}HahpaFtlalttx�tFlocld0.Mc
_ (PrimAry Contractor)
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. I
I
CONTRACTOR SIGNATURE (Qualifier)
Adams Hanal Nothi Ploddo, tac.
PRINT NAME
oz-1
COUNTYCERTIFICATIOO NUMBER
Slate of Florida, County 01sp
The foregoing instrument was signed before me lhi,AP day of
"� .20L,bbyy William Bryan Adams
who is personally known s� Or has produced a
as identification.
Signature of Notary Public - STAMP
SHELLEYA. SEPULVEDA
Print Name of No
e.., SHELLEY& SEPULVEDA
WMY COMMISSION # GG 262074
' 7.- EXPIRES: January 25, 2023
,`S°t."°� Bonded Tow Notary Public Underwdlers
Revised 11 162016
I'3Jo!5
COUNTY CERTIFICATION NUMBER
State of Florida, County of TLq.C_IE
The foregoing instrument was signed before me this day of
" 41u/ !, 2019, by 1CW1 �5YY1610124
who is personally known ✓or has produced a
I
as identification.
of
RICHARD DOUGLAS JOHRSOP.
Notary Public - Stale of Florida
i
CommissionpGG0114021
My Comm. Expires Mar 20, 2021
i •.........•
F:.e.wa Wauge WlioWNakryAW.
STAMP