HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMITS
ISSUE DATE
I
�pCOUNTuYk�����.
a
(Company Name)
the
Crypt of Trade)
For the project located
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Divislon
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT .
Sub -contractor for
SCANNED
BY
St. Lucie County
have agreed to be
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 SL Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
(V IGNA ua I ww)
Atlttltn Ran4aaf Na0taest Fiwidd, idQ
PRINT NAME
COUNfYCERTIFICATIONNUM ER
State of Florida. County
The romping Imtnaamt au eland berme use thfar�40i day of
D[�il�2111 6ey William Bryan Atams,
who b personally known_or hat prodatda _
u ldeotlnra�
STAMP
otNotary Poi
SHELLEYA SEPULVEDA
Priat Name of Notary Pall
SHEUEYA.SMVEDA
MYCDMMIB1
I0
NgGo262074
EVIRES:im"25,2023
. �:fdlit`"' BpNkThniNotell'A�Ihdawren
Revised till 612016
CrAL(AA
sulk =LLk
URE(Qu■uaer)
Georj:�e �. (_ rUIC.k��'1Q0
PRINT NAME U i
State of Aorlds, Coaory of $C• WCIE
The toredofq lux,
trumenl was, eland before aoe tab % day of
Ar�roi1,by Gr"e 2� ___ Cr.,Ltctshun�<
who Is persondty, Yao ✓or has produced a _
as Ideontl�aotlopo Cam, "
STAMP
slaaatara of Notary Pahtle
RICHARD DOUGLAS JOHNSON
Nalary Public - Stale of Florida
Commission 9 GG 084821
My Comm. Expires Mar 20.2021
81 ri NAW Notary Asm
COUNTY q''
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
M Inl 17 R-L:'l..l 5
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(IV
(Company Nar(te/Individual Nam")
the (Type of Trade) 0 U vv� I Ntl Sub -contractor for
For the project located at
Street Address or Property Tax ID #)
SCANNED
BY
St. Lucie County
have agreed to be
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.
CONstcALIUn SIC ATURE(Qualifier)
Adian Homes of tiafffilat Flatde, Ifn
PRINT NAME
COUNTY 9CE��9RTIFICATION NUMBER
Stale of Florida, County � The foregoing instrument was signed before me this ad day of
O er IO_ C1 by William Bryan Adams
who is personally known __'or has produced a
as identification.
STAMP
SHELLEYA. SEPLIINEDA
Print Name of Notary Public
�'v!."!%y;•, SHELLEYA. SEPULVEDA
�' _ MYCOMMISSION # GG 262074
.`>o EXPIRES: January 25,2023
".P%;n°•' Bonded Thni Notary Public Underwriters
Revised I I/I6r20
I
SUB-CONT SIGNATURE (Qual tier)
I
Z
PRBYf NAME
I
ag COUNTY CERER
TIFICATION NUMBER
State of Florida, County of 3T-lJ..ac1Q
i
The foregoing Ivstrumen�tt was signed before me this eg-7 day of
�'a42 •aL�L 20& by �ZCs'1�c,M:n ll i.mCvICL
who is persanally km own ✓ or has produced e
as identification.
AAS' QJ (ICI'El An�f.J STAMP
signature of Notary public
I
RICHARD DOUGLAS JOHNSON
Notary Pubfc - Stale of Florida
• Commission 4 GO 064621
:,;yt•ar"o3 My Comm. Expires Mat 20,2021
Banded hn * Nassul NouryAtsv
PERMIT# ISSUE DATE
I
1
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
St. Lucie County
have agreed to be
the ! (IAC-, Subcontractor for Adana, Homes of Nalhvesi Fkdda lsln
(Type of Trade) (Primary Contractor)
For the project located
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.
CONTRASIGNATURE (Queuner) ..._
- _tt9� demMreff Fhdda. Bse
PRIM' NAME
--791
COUNTY CERTIFICATION B
Stale of Flerida, Cauotyoip
The foregoing Instrument wm signed before me Ibis e;—day or
SIP! xol1 by William Bryanams,
who a personally known zIr bu produced ■
as Idntlp a .
df� �2
STAMP
Slgusm" of Notary PoRlc
SHELLEYA SEPUIYEDA
Prlot Nrnu of Non -
SHELLEYA.SEPULVPDA
,s MY COMMISSION#G0202074
'•�` EXPIRES: January 25,2023
;leT�?•,al Baled Thru Notary PuW UMa .Wrs
Revised 11/1612016
stateof Florida, County or J 1, Lyd le
The foregoing Iwtrumenl wu signed before me thb/19P day of
12019 by Q�c"C! N
wµ 1
wbo is personally kgIoo V or hu prodoted ■
u ldeotlantloo. '
STAMP
5pnalareofNo^ Pnb e
_IC It�.a R� UO,ic.,A3 JO�NSoN
PAot Name efNan bile
;,«;::5•;/•.,
RICHARD DOUGIAS JOHNSON
\)�^•=
Nalary PuNic-Sla!e of florida
Commission
.1%,. Rw;=
•••� W
d GG 004821
My Comm. Expires Mar 20. 2021
BmdMdrog�Nalovl�u7km
the
(Type
For the project located at
PLANNING & DEVELOPMENT
4
Code Compliance
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St.
SCANNED
BY
Lucie County
have agreed to be
Sub -contractor for _AeamyHacesatNoMwestFbtida 9tc
(Pnmary Contractor)
I
(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 Count
I
y will be advised pursuant to the
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualifier)
Adams Hanesd NaMwest Roftda, ata
PRINT NAME
Ci �9
COUNTY FICATIOO Uld ER
Stale of Florida, County p( 7djsftA PISS The foregoing instrument was signed before me this= day of
nCjo,fieL 20L,by William Bryan Adams
who is personally known ✓ Or has produced a
as identification.
Signature of Notary Public STAMP
SHELLEYA. SEPULVEDA
Print Name of No
+Y°4..2% SHELLEYA SEPULVEDA
MY COMMISSION # GG 262074
ors'+ EXPIRES: January 25, 2023
•'•°fry. Donded Thin Notary PuNc Undewrors
Revised 11-16 2016
SUB-CONTRAC RSIC
� RE (Qualifier)
PRINT NAME
State or Florida, County of 'E [,l{(J' 1
The foregoing instrument was signed before me this day or
�'fAGtr I.zatq,br�ign���lG1ov+P
who is personally ki own ✓or has produced a
as identification.
i
pZt;aA .,l I11N._o��
Signature or NotaryL STAMP
lYNnhr
m�
RICHARD DOUGLAS JOHNSOD.
�� _
Notary Public - Stale of Florida
;. •i
ConmissiontIGG084021
y1
so
Fo i
My Comm. Eapnes Mar 20.2021
i.......•
F:...!^O We�ga Nalgnal Nouryksn.