HomeMy WebLinkAboutSubcontractor agreemetn, electricPERMIT # 41010010
`O 0010 -ISSUE DATE
_ PLANNING & DEVELOPMENT SERVICES
•
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Blosser Electric, Kent Blosser
(Company Name/Individual Name)
the Electrical
(Type of Trade)
have agreed to be
Sub -contractor for Port St Lucie Plumbing
(Primary Contractor)
For the project located at 207 Southland Drive, Apt 4, Fort Pierce, Fl 34950
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status re�(larding 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.
CON7q
OR WGNATL:RE (Qualifier)
6or Zfir,e)/0
PR I NTY ANIE
117J q
COUNTY CERTIFICATION NUMBER
State of Florida, County of _Y L ci 1. Imo/ y
The foregoing instrument was signed before me this 17 thd.Y of
Feb wry_ , xo2-1, by Zary W T 4e l/o
who is personally known or has produced a
as identification.
& L� STAIIIP
Si,nalnrc of Notary Public
riile �� e- / 1,Ft
Print Same of Notary Public �' Danielte Bigfln
W1o.
Comp, �`h� Am Notery
Revised I [, IW2016
6�
SU-CONTRACTOR SIGNATURE (Qualifier)
Kent Blosser
PRINT NAME.
EC13001570
COUNTY CERTIFICATION NUMBFR
State of Florida, County of S�. Lcc _'j _
+h
The foregoing instrument was signed before me this 14 day of
FAj,tr-E7 _ 2(k2t , by Kz,'+ 131cs5.,~
who is personally known -,."has produced a
as idde�ent��i�fic�Jationy�. 4
�� !'�'-' " STAMP
Signature of Notary Public
Print i ame of Notary Public
GUY R BOUCHER
MY COMMISSION * GG091810
` y+ a EXPIRES AP610S, 2021