HomeMy WebLinkAboutSubcontractor Agreement (2) PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT L 5).A—
SUB-CONTRACTOR AGREEMENT
L-\o ` \6.t\ ,J�(kS P[Lx �R LLC, have agreed to be
(Company Name/Individual Name)
the Sub-contractor for
(Type of Trade) (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.
r&
CONAACTOR SIGNATURE(Qualifier) SU&CONTIUCTOR SIGNATURE(Qualifier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of State of Florida,County of�1-'�41
-The foregoing i trument r��
was signed before me this (� day of The foregoing instrument was signed bebefore me this Ia day of
20 U y ��U �yi �JU �[01-
who is personally known or has produced a who is rsonally lmbw or has produced a
-as identificaation�.� as Identification.
STAMP STAMP
Signature of Notary Pu is a ur (olury bhe —� n
S G H IV Print Name of Notary Public
Print Name of No _* �; tate of Florida-Notary public
- Commission # GG 270079 \`\�\�� `pRRAIlVF� ///�
9�OP F1.OQP\ N1Y Commission Expires �',. O
Octo_b.er 22, 2022
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S . S
Revised 11/16/2016 = fi0G9574%
I
?PERMIT# /�,T� F� ISSUE DATE
C) _ OOg L!
I
PLANNING & DEVELOPMENT SERVICES
i? ' Building & Code Compliance Division
"COUNTY
• P. I r
BUII,DING PERMIT
SUB-CONTRACTOR AGREEMENT
I
,
i
y BLOSSER ELECTRIC have agreed to be
j (Company Name(Individual Name)
the ; ELECTRICAL y Sub-contractor for ®W RESIDENTIAL LLC
(Type of Trade) (Primary Contractor)
For the project located at 9650 S Ocean DR Apt 1502 (4502-610-0132-000-0)
(Project Street Address or Property Tax ID#)
i
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.
lw
CONTRACTOR SIG ATURE(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
Kent Blosser
INT NA Ir PIE PRINT NAME
20618
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
� ( � �
State of i Florida,County of 5� [t r h_K_ State of Florida,Count}of St. Lucie
The foregoing instrument was signed before me this 25 day of The foregoing instrument eras signed before me this day of
Ov, 70 zIpny�41V1 n r1 Q.�t-t Cl n � (VLY_,20]La n� Lt
31n�etr
who is personally known or has produced a who is personally known�or has produced a
as identi I fication. as identification.
STAMP STAMP
Signature of Notary l5aWic Signature of Notary Public
,
Print Name of Notar Pub State L L N V�U G Print Name of Notary Public
=. -
of Fi da.N rN
Corn on otar ubl-9rF PA, mission # Y P is
l Y Corn 0079
o M GG 27
October 2z 202ziros ,R+?%i, AtISON HA:GG
.•, .' MY COMMISSION 7 0043RES.Marc024licviscd;l l/16J201G anded Thru Notary Puen+item