HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT11, PERMIT 12107-0369 I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
COUNTY - Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
ONE CONSTRUCTION & ROOFING CONTRACTORS / MAURICIO ORELLANA
(Company Name/Individual Name)
the '�CVIR&S,
(Type o rade)
have agreed to be
Sub -contractor for [ � � W l 0q-b
(Primary Contractor)
For the project located at 6864 Bronte CirPort St. Lucie, FL 34952
(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)
PRINT NAME
COUNTY CERTIFICATION NUMBER
k_� �' �C)
JJJJU
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of S5�v__�t" �V__ State of Florida, County of G l - �^V`L� C
The foregoing instrument was signed before me this day of The foregoing instrument was signe�d� `before me this •� IQ day of
J�a\ , 2, by 20�4 by 'iH�v,��c�p C�`\CV5.
who is personally known or has produced a who is personally known or has produced a
as identification. as identification.
y p'•
PAULEETTE BLAIR•ALEXANDER oe. PAULE7E BLAIR•ALEXANDER
?° •� • �: Notary Public Sta of Florida
11 ture of Notary ublic 06TA� olic • State of F fission n G 1
Z. Commission # GG 98 at f otary Public , • �?r
My Comm. Expires Sep 6, 0 4 oF°. My Comm. Expires Sep 6, 2024
B d through National Notary ssn. Bonded thro h National Notary Assn.
PrW Name of Notary Public Print Name of Notary Public
Revised 11/16/2016