HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTSPERMIT # I Gr U L — O C) 3 y --ISSUE-DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
L ' C nt
-FEB -2 S 2019
Permitting Department
St. Lucie County, FL
Blosser Electric St. UCle oU y have agreed to be
(Company Name/Individual Name)
the Electric Sub -contractor for Delahunty Construction
(Type of Trade)
(Primary Contractor)
For the project located at 4479 S. Indian River Drive
(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.
C NT TO SIGNATURE (Qualifier) SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME '
COUNTY CERTIFICATION NUMBER
State of Florida, County of 5r Ly 161 r��t
The foregoing instrument was signed before me this d0- day of
114 20Lq, by
who is personally known Le!for has produced a
nz
I STAMP
iibature of Notarylic
Rut Name of Notary Public
DENISE BARDEEN
Commission # GG 6237
.g
My Commission Expires
Revised 11/16/ 1�6''s�o n°'„^,w � June 27. 2020'
.ems
,-_2
COUNTY E TIFICATION NUMBER
State of Florida, County of 5� Luck h
The foregoing instrument wes signed before me this Bl day of
Febfvw7 Zu III,, Kew+ 1N0Zc1`-
who is personally known V or has produced a
as identification.
/�j�, /
)( F_ �v STAMP
Signat re of Notary Public
Gvy IR &vc)\er —
Print Nat& of Notary Public
AW
yw..GUY R "OUCHERMY COMMISSION# GG091510EXPIRES Apri10 .2021
PERMIT# M O� �:/�3j�I—ISSUE-DATE---- ------ -- Y v
St. Luc County
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PLANNING& DEVELOPMENT SERVICBuilding & Code Compliance Division
sw�° r BUILDING PERMIT FEB 2 !!I
I
SUB -CONTRACTOR AGREEMENT
Permitting Department
St. Lucie County, FL
have agreed to be
the' 6oF,✓C Sub -contractor for 0Jrt,aavv,TZ Co YI'tivcrer✓-
(Type of Trade) (Primary Contractor)
For the project located at 1/479 12,,r-& 1'2 FT C/t-c6!
(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
fill g�o� a Gunge of Sub -contractor notice
CONTFMCrOR SIGNATURE (Qualifier)
Coc.t ,, Or,�G4 N✓i
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of /_; Lf ,.C--
The foregoing instrument was signed before me this122day of
i�f!� 20� by
who is persona own or hasproduceda '
asideatification.
Siglydfbre of Notary Poblrc
1 )P111S� =e
PrMf Name of Notary Public m
„°�, a' DENISE BARDEEN
�� �". Commission • B3 8237
'- Sv1y Commission EaDires
��. Jung 27, 2020'
R r
"R(2
1«90t-)Y\
SUB -CONTRACTOR SIGNATURE Qn s I
13rUndOt-%
146Q(
,in
PRINT NAME
CJ
'3107
COUNTY CERTIFICATION NUMBER
State of Florida, County of i -f . r,
The foregoing instrument was signed before me this day of
�0-- r,,c.t .20ft by'.,c "�
who is personally known _or has produced a sh- wf5 t • k^-11L
as identification.
4
STAMP _ _/�__� STAMP
Signature of Notary Public
Print Name of Notary Public
:tixt ca"""-
.;or �'�
SHANNON SCOTT
Notary Public - State of Florida
.�r�C '
Commission # GG 250498
My Comm. Expires Aug 20. 2022