HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTI
PERMIr# ISSUE DATE l
I
Rr r
m.
Co'
l7IVTUY�ka;u
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
the P ,t n CSub-contractor for Adam
(Type of Trade) (Primary
For the project located at
or Property
SCANNED
BY
St. Lucie Count
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.
r
CONTRkerM a:WAA I On (Qualifier)
Ad MIM.nlesof NorOraatFbncK tan.
PRINCNAME
Jt?/ 7-F
COUNTY CERTIFICATION NUM ER
Slate of f lorlda, County
The foreping ImUsanmt wsa signed before all, Ob Aj day of
OCAJ,re,-20-Mby William BryanImsl
who Is personally known or bas produced a
n Wekearatl
Slgeabrre of Nenry Pahlle STAMP
SHELLEYA SEPULVEDA
Print Name orNotary Public
SHaWA.SEMVF.DA
my COMMISSION OGG 202074
�. ExpiREE:Jaruay25,2023
'� r gdrAdllaNNomtY Plete.Udawrera .
Revised 1111612016
ASUWCfOft SICNATURE(Quaufkr)
4��:k
Geoy aFI R. O�rui ck ank -
PRINrNAME U 1
LUUMA T 6LRTIPICA�TION NUMMER - --
State of Florida, Coauty of %V. W CAE
,T,.L��e,,,,ro��r��rg��of��og��lutrumeat wu dgod Ware ant lhh� day of
ld*J� i 1, M Qrex�rae 2 _ Cy'..air k VxnK
who 6 perate kaol ✓erhu produed a _ ---'
d leeotlanaoo.
I ,( � �
y��A .� /LJJA o' srAMP
Syualvru ormtery Pa Idle
I
RICHARD DOUGLAS JOHNSON
Nalary Public - Stale at Florida
Cammi55ion d GG 084021
My Comm. Etpnes Mar 20. 2021
ecnded bough Nal*Ml NolaryAsm
COUNTY„
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
J
SCANNED
BY
St. Lucie Count%,
have agreed to be
the OI 0 LA LYN I NSub-contractor for Ada."clNostmo tPaido Ma
(Type of Trade) (Primary Contractor)
For the project located at 6'r/p %20AAplin
or Property Tax ID If)
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.
CONrrsats R SIGNATURE (Qualifier)
Adam Names of NoI taest 11WKIa, Inc.
PfUNT NAME
COUNTY CERTffICAT1ON NrtsU�Mynn�BErRpp��
State of Florida, County wh*_
The foregoing instrument was signed before me this v� day of
&YO&IFe 2014 by William Bryan Adams
who is personally known ___`or has produced a
as identification.
A1 s� STAMP
SHELLEYA. SEPULVEDA
Print Name of Notary Puhlic
SHELLEYA. SEPULVEDA
_ �` t,/L MY COMMISSION p GG 262074
.'X :g EXPIRES: January 25, 2023
`" °•:' Bonded TAN Nobly Publtc Underwriters
Revised 11/16120
SUB-CONT SIGNATURE (Qual fier)
ySr.r*xv r S.h.(er.7 tf
PRINT NAN.
i
a-V COUNTY CERERTD'ICATION NUMBER
state of Florida, CqIuaryof 137-1J-+Cxe
,Thhee (oo rttggollogg iostrument was signed before me tbt�� day of
�.20&by Z2✓Ije M:v� %ilirnCvlCL
who is personally ki own ✓ or has produced a
as identification.
ra ".c' cp (Il A� STAMP
wggoature at Notary Publtc
0ca-t9t4S 7o hn C/1
Pnar Nameof NatalyP he
RICHARD DOUGIAS JOHNSON
Notary Public - Stale of Florida
•�.�
CammissiOOGG084021
°••
; ,a.r o„a;Y
My Comm. ExInes Mar20,2021
• ••^
anoWNWge NADU N,I,ryAan
PERMIT #
COUNTY l
F L O R_ I D A
the
(Type
For the project located at
ISSUE
PLANNING & DEVELOPMENT
Building & Code Compliance
\- 2
Name)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
By
St. Luce Count,
have agreed to be
Sub -contractor for _AdmttiHauesatNordtre�tFlatda 6nC
(Prim 1 iy Contractor)
(Project Stree dress Or Property Tax ID #)
It is understood that, if there is any change of status regarding our parti4' ation 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 Homes of Norbiti st paida. ltk,
PRINT NAME
y'
COUNTYCERTIFICAT710 )NUMBER
State of Florida, County "W
The foregoing instrument was signed =before me thi 1IJ3
day of
Oic" , 2oL, by 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
SHELLEYJL SEPULVEDA
MY COMMISSION p GG 262074
EXPIRES: January 25, 2023
•'•Pr" 0onded Tim Notary WNlc Undemdlers
Revised 11'16 2016
2 ; rt
State offlorida, C lusty of T'L-i-tCIE
The foregoing instrument was signed before me this day of
/ I,zol9,by�iGr-j YYIGI_ phew_
who is personally own ✓or has produced a
as identification.
I
— A n 0' L STAMP
Signature of Notaryrubhc
of
. La• ��;.,,
RICHARD DOUGLAS JOHN.SON
\.�-.
Notary Public - Stale of Florida
.' 1 hr)� •?
CommissianpGG004021
My Comm. Expires Mar20,2021
i •.... ..
F n!�Wough Naloal Not"Asm
PERMIT# I I ISSUE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT SCANNED
SUB -CONTRACTOR AGREEMENT BY
St. Lunif,
^) &UG </^'/ / 7 have agreed to be
(Company NameAndividual Name) %
the Sub•contractorfor Adartm,HomescQNoyreStFkridatn�
(Type of Trade) 7Primarir ro„ r.�ZA
For the project located at
ID N)
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 (Qaallaer)
IEams_„ dIbaasaalt"'Oftbse.
PRINT NAME `--""'--
",9/ -XF
COUNTYCERTa+ICATION B
state of F7odds, County* SP
The foregoing Instrument was signed before mt thbd-3 day of
C 4b,nee 2oly by WilliamBryanA ams
/y--— tMwt
who is personally known Vorhu pZ rodutda
u Idmtla a ,
STAMP
Slgaature of Notary PoNIc
SHELLEYA SEPUIVEDA
Print Name ofNotar7,�;°''
SHELLEYA.SEPULVEDA
„ MY COMMISSION# GG 262074
' P EXPIRES; January26.2023
s;?O; h°�• 6aMd Tore NohvY PuOaeUMeredfere
Revised 11110016
State of Florida, County of J 1. Lvele
I q
The foregalag Instrument was signed before me Ihh,J day of
Q bad4- 2019, by Rt�ncd N v #I
who is personally kaowo Zoe bas prodooed a
u Idtotlanaao.
STAMP
SDDuatmeofNats Pot b --
SJG�AI-A UO.lit-`A3 7O�NMSoN
Print Name of Notat}Publlc
,•�:w�%', ,;,
•' o•J
RICHARD DOUGLAS JOHNSON
Notary Pubie-Sia!e orFlodda
CO -billion C GG 08C821
lay Corm. Expires Mar 20. 202f
amaef tMdiyh Nalnnal Nolny gtsrt