HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT SCANNED
SUB-CONTRACTORAGREEDIENT BY
Wit. Lucie County
the �Compaay Name/Individual Name)
L,-\,) MC7\,, C- Sub -contractor for
(Type of Trade)
For the piroj ect located at
(Primary Contractor
(Project Street Address or Property Tax ID #)
have agreed to be
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� R SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, Comfy of n k Ai h
The foregoing instsment was signed before
m-e thisa&day of
i2,tA .20RI1 by V • LlL �/ o to 0
who is personally tuown�yr has produced a
as identification. //
C TAMP
SignaWre o YafalyPu
-Print Name of
TAL MON119=W
.i Colnm1ss10n # F
r aa Expires Octobels
Revised 11116/2016
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SUB CTOR SIGNATURE (Qualifier)
'\�nit, rnMoh.
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of ��11��
/T�h�epfooreeggoiin�g instrument was signed beforemethiss�ay of
l.�aouk . 20& by3^ l0 4WM MOA n
who is personally lmown A or has produced a
as identification.
STAMP
Cg0.1.efANotaT,yPubTRc_
1 VIQIAkAk WAA
Print Name of Notary
010t50eeCf��rNe"!ld1�W1RP^e 2�
Oto?'9fagWopSan^e�
PERMIT #
ISSUE DATE I 11/1/18
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Blosser Electric
(Company Name/Individual Name) have agreed to be
the Electrical Sub -contractor for Agler Kitchen Bath & Floors
(Type of Trade)
(Pnmary Contractor)
For the project located at 9960 S. Ocean Dr. Apt #504, Jensen Beach, FL 34957
(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.
COUNTY CERTIFICATION NUMBER
State of Florida, County of "A
The foregoing instrument was signed before me this -5— day of
who is personally knownkar has produced a
as identification.
STAMP
S
1p _UB-CONTRACT
OR
I( SIGNATURE (QuatiOer)
1 l�1 L;;iQ-f
PRINT NAME
COUNTY CERTIFICATIONNUMBER _
State of Florida, County of � (' e
The foregoing instrument was signed before
efoorre me this day of
NwerMbeir ..20 0 by_ K!J a056per
who is personally known JLor has produced a
as id 'fication.
519hatore ofNotary P e - STAMP
..t Ccmmissicn # FF 924875 mu
piresOclober8,2019 a"°•°°° E LAURIE HELLER
Commission tl GG 66535
e.uwnwrmrfo,uau.n eosysroor -'�.6,c
My Commission Expires
�`�P;„.•••' February01,202i
Revised 11/162016