HomeMy WebLinkAboutSub-Contractor AgreementPERMIT# 't� 2 V�� ( ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUrLDING PERMIT
SUB -CONTRACTOR AGREEMENT
Goldstar Electric, Inc. have agreed to be
(Company Name4ndividual Name)
the Electrical Contractor Sub -contractor for Synergy Homes, LLC
(Type of Trade) (Primary Contractor)
For the project located at 15360 Skyking Drive, Port St. Lucie, FL 34987
(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.
CON SIGNATURE (Qualifier)
Ryan Davis
PRINT NAME
CBC 1254289
COUNTY CERTIFICATIO'N��/,a�ffi ER Q�
State of Florida, County of I/>•` t`�` �
The foregoing instrument wag signed before me this 10 day of
FPG� 0J2by
who is personally known '&—or has
STAMP
Print Name
DEANNE L. JOHNSON
MY COMMISSION # GG251845
E}�IRFS: July 17, 202]
S CONTRACTµTOR SIGNATURE (Qualifier)
John Cavnar
PRINT NAME
23575
COUNTY CERTIFICATION NUMBER
State of Florida, County ofe.µlir`
The foregoing instrument was Jsignedbeforeme this I Q day of
20y 7-.�,hY1 CC2✓r16l
who is personally lmownj__ar has produced a
*' N*% DEANNE L. JOHNSON
MY COMMISSION U GG251645
EXPMS: July 17,2021
STAMP
Revised I1/16/2016
PERMIT # I / I i 'O� Dq ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
AQUA DIMENSIONS PLUMBING SERVICES INC. have agreed to be
(Company Name/Individual Name)
the PLUMBING Sub -contractor for SYNERGY HOMES, LLC.
(Type of Trade)
(Primary Contractor)
For the project located at 15360 SKYKING DRIVE, PORT ST LUCIE, FL 34987 - #4224-501-0065-000-1
(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.
1/ :'D r
CONAtACTOR SIGNATURE (Qualifier) SU11-00NV#ACfORS NATURE(Qualifier)
RYAN DAVIS
PRINT NAME
CBC 1254289
COUNTY CERTIFICATION NUMBER ,,,, Ic
State of Florida, County of ea.eE�.
The foregoing Instrument was signed before me t�his_iDday of
-Tan • .20X by !?Wn l�lA'y 15
who is personally known _A_or has produced
N
L. ]OIiNSON .JOHON 0 SON51845
July 17, 2021
Revised 11/16/2016
STAMP
ROBERTLUDLUM
PRINT NAME
18628
COUNTY CERTIFICATION NUMBER
State of Florida, County of -LI Ci e,
The foregoing Instrument was signed before me this 10th day of
JANUARY ,2020. by ROBERTLUDLUM
who is personaay known )( or has produced a
as identification.
RHONDA LAFFERTY
MY COMtAIS510N 9 GG058720
EXPIRES January 08.2021
STAMP
PERMIT N I I n.� ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
a n o� e r •' C' �a1 ! f ! m .t S C f L''t P ^ G have agreed to be
(Com�1ny Name/Individual Name)
the G Sub -contractor for Synergy Homes, LLC
(Type of Trade)
For the project located at 15360
(Primary Contractor)
Drive, Port St. Lucie, FL 34987
or
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
filuig of a Change of Sub -contractor notice.
CO CTOR SIGNATURE (Qualifier)
Ryan Davis
PRINT NAME
CBC 1254289
COUNTY CERTIFICATIO YUMBER
Slate of Florida, County ofAlan��
The foregoing instrument was signed before me this I day of
Jan. 2(I�.by KVal
who is personally known ,Aor has produced a
lYtriSli
N
L. JOHNSONSION # Cdi SON July 17,2021
Revised 11/16/2016
ONTRACTOR SIGNATURE (Qualifier)
L ho'^GS � ors 4 e PRINT NAM '
e 4C oc�7Z6
COUNTY CERTIRCATION'NUM!sBR /E!
State of Florida, County off RGt.C�k
The foregoing Instrument was signed before me this L day of
�dn r—, 2caby atowas gaq-
who N nercmisnv known X fir boa nrndnro,i n
Print Name orNotary Pubic .
9 EE
:Yt
the
PERMIT # 1912-0204 ISSUE DATE
i
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Name/Individual Name)
(Type of Trade)
For the project located at
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for Synergy Homes, LLC
(Primary Contractor)
15360 SkykingDrive, PortSt. Lucie, FL 34987
(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.
�Dc
CONVUCTOR SIGNATIIRE(Qualifier)
Ryan Davis
PRINT NAME
CBC 1254289
COUNTY CERTIFICATION NUMBER
State of Florida, County ofD(2(ril -1CQ�t�
�, \
The fo-rergoiing instrument was signed before me this lO day of
CYO zG�by� n i_)QVIS
n•ho Is personally known �11_or has produced a
Revised 11/1612016
SUB -CONTRACTOR SIGNATURE (Qualifier)
j�f>_<<ti.� dV�nlo..scy
PRINT NANIE
Kr/33 �2s"3
COUNTY CERTIFICATION�NNUINIIBER�,
State of Florida, County of,L! ie
The foregoing instrument was signed before me this
. -L day of
a�_IJ ,2QWby /FY .i G' 4
who is personally knownV_or has produced a
as identification. �/7/
STAMP 6LZ "Id STAMP
'Signature tu/ofNotar Public
U{r
Print Name of Notary Public
" N
. JOHNSON
ON 11 GG251945
uly 17, 2021
,Ocr We Nolary Public State of Florida
Victor G Allen=
M Commission GG 274292
y+� ' Expires 1110512022
of n'