HomeMy WebLinkAboutSub-Contractor AgreementPERMIT# 1912-0214 F;L;DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
" ;6",".,.. Synergy Homes, LLC
the F 142 Crz I Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at 6104 Yucca Drive, Fort Pierce, FL 34982
(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 (Qualifier)
Ryan Davis
PRINT NAhIE
CBC 1254289
COUNTY CERTIFICATION NUNIRER �/.�( p:
State of Florida, County of_n` `--' 6LCk/J
The foregoing instrument was signed before me this I zay of
_ �.201qy A lei vi s
who is personally known 1&or has produced a
DEANNE L. JOHNSON
MY COMMISSION # GG251845
EXPIRES: July I7,2021
Revised 11/162016
SIiB-CONTRACTOR SIGNATLtRE (Qualifier)
COLINTI' CERTIFICATION M@IBER e
State of Florida, County of4�L+
The foregoing instrument was signed before me this _Lp day of
R2 b 20J3, by D01 71 Z li Wn0 —
who is personally known 3zor has produced a
as identification.
.r JMELHAR/NyFRapp
_°........ iMy f�jl!.tlgC"'iil
STAMP 7
S1 aturc Notary Public g, FXWIES:Ap12,2PJi
��'arR°PP fiaNad TIw l3�idgeltkWYser�
Print Name of Notary Publ c
PERMIT# 1912-0214 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 6104 YUCCA DRIVE, FORT PIERCE, FL. 34982 /3402-610-0621-000-5
(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.
CO'VRACrOR SIGNATURE (Qualifier) SUB-COrV,9ACTOR SIGNATURE (Qualifier)
RYAN DAVIS
PRINT NAME
CBC1254289
COUNTY CERTIFICATION NUMBER
State of Florida, County of�( 1�-
The foregoing Instrument was signed before me thisL day of
12,6� 2 by ( S
who is personally knownr has produced a
STAMP
DEANNE L. J0HNS0N
MY COMMISSION 0 GG251845
., P EXPIRES: July 17, 2021
Revised 11/162016
ROBERT LUDLUM
PRINT NAhIE
18628
COUNTY CERTIFICATION NUMBER
State of Florida, County of _Lll CI e...
The foregoing instrument was signed before me this 28th day of
JANUARY 2a2G,byROBERTLUDLUM
who is personally known )( or has produced a
as Identification.
+=a RHONDA LAFFERTY
MY COMMISSION # GG058720
EXPIRES January 08, 2021
STAMP
PERMIT# 1912-0214 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
---- --- BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
anoJ�r- A C(ACA,'4'tr. 1C, Se7L,LP
Name)
the I--t V k (,
(Type of Trade)
have agreed to be
Sub -contractor for Synergy Homes, LLC
(Primary Contractor)
For the project located at 6104YuccaDrive, FortPicrce,FL34982
(Project Street Address or Property Tax B) #)
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.
F
CTOR SIGNATURE (Qualifier)
Ryan Davis
CBC 1254289
COUNTY CERTIFICATION NUMBER
state or Florida, County of.
The for oing Instrumeern''tw�a�ssig9�J before a 'sI day of
,20Ll�Ly 1L r 1 I,
who is personally known orhasproduced a
as ideni6eutloa / /..
STAMP
)EANNE L. JOHNSON
lY COMMISSION N GG251845
EXPIRES: July 17, 2021
Revised 11/162016
ONTRACTOR SIGNATURE (Qualifier)
L heAcS � �A 4e r
PRIIYI'NAhtE
e 4C cc�j7Z(a
COUNTY CERTIFICATION NUMBER
State of Florida, County of •M nrd 1
The forregoing instrumentwas signed before mnee this day of
who is personally known _*IL or has produced a
asidenunauon. yS�r y�P
Signature or NRonald otary Public $ Ronald M Bennett
nnneett
tq Ffpridg
2Cnalr/l tJ GAtir1� My Comia>on GG 127672
« mExpires 07124/2021
Print Name of Notary Public
PERMIT# 1912 0214 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company� Name/IndividuaI Name) (
the AIJAa✓ Sub -contractor for Synergy Homes, LLC
(Type of Trade) (Primary Contractor)
For the project located at 6104 Yucca Drive, Fort Pierce, FL 34982
(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
CoN,TFJt.CT0R SIGNATURE (Qualifier)
Ryan Davis
PRINT NAME
CBC 1254289
COUNTY CERTIFICATION NUMBER /J
State of Florida, County of P� G
The fore Ding instrument�y'�js signed before me this I� day of
_,20 y f� ,/U%�n I VIS
who is personally known der has proceed a
as
STAMP
Revised 11/16/2016
SUB -CONTRACTOR SIGNATI!RE (Qualifier)
PRINT NADIE
COUNTS' CERTIFICATI N NUMBER
State of Florida, County of /_�/(i%e
The foregoing instrument was signed before me this JJ day of
who is personally knowny or has produced a
as identification. ,(� ///// /�
//_-Z / 1 / 11a'e'� STAMP
ignature of Notary Public
Print Name of Notary Public
RiEg
blic State o1 Allerizioission GG 2110612022