HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTPERMIT # l �� _ O31 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
s. _ .. j 1 Building & Code Compliance Divi%ion
•
` r BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
OSO Site Development and Septic, Inc
(Company Nam
the plumbing
(Type of Trade)
For the project located at
have agreed to be
Name)
Sub -contractor fol (C, R )
(Primary Contractor)
--
(Project Street Address or Property Tax ID #)
■1
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.
APAcTOR I ATURE (Quaker) SU - ONTRACTOR SIGNATURE fQnalifter)
Jan -Michael Ortiz
PRINT NAME PRINT NAME
34)L1g1
COUNTY CEI1TR1ICATION NUMBE11
State of Florida, County ofoua:)D10ea
The foregoing instrument was signed before
me this day of
j,jktt 20jaAby
who is personally known _✓ r has produced a
as idenlification.
'TIFFANY RENEE UENTON
MY COMMISSION 6 GG 2A3842
EXPIRES: July 31, 2022
ondod Thm Notary Public underwriters
Revised 11/16/2016
COUNTV CERTIFICATION NUMBER
State of norida, County of _l ,,`l ffL) `G',bee
The foregoing instrmment was signed before me this day of
who is personally known or has.Koduced a-.
as Ideuliricnliun.
TIFFANY R1°NFEpENTON`x
MY COMMISSION It GG 20842 I
EXPIRES:Juiy31,.A7.2 J
°r F`^ Bonded Thru N°larypublic Undemritem
STAMP
PERMIT # ^ `U-1 „ C) � � � ISSUE DATE
COUNTY
F L 0 R I D A
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name)
the U tod r> C CA Sub -contractor for G rap(_
(Type of Trade) (Primary Contractor)
For the project located at
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.
o -6110 H /
CO ACTOR SIG (Qu lifter)
(gene
PRINT NAME
COUN CERTIFIC ION NUMBER p
State of Florida, County o�l `g
TheC foregoing instrument was signed before me this al�y of
V 20_aJby aene1
who is personally known _or has produced a
as identification.
TIFFANY RENEE DENTON
MY COMMISSION # GG U3842
EXPIRES: July 31, 2022
Bonded Thru Notary Public Undarwdters
Revised 11/162016
UB-CONTR CTOR SIGNATURE
PRINT NA
COUNTV CERTIFICATION NUMBE\R�,
State of Florida, County of eieRI `64e
The \foregoing instrument was signed before me this day of
(by 1ne
who is personally known need a
as
TIFFANY RENEE DENTON
MY COMMISSION it GG W842
EXPIRES: July 31, 2022
Bonded Thru Notary Public Undernritors
STAMP