HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT PERMIT# 7 ISSUE DATE
PLANNING & DEVELOPMENT SERVRCES
Building & Code Compliance DMsinn
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
NT
OSO Site Development and Septic, Inc have agreed to be
(Company Name/Individual Name)
the plumbing Sub-contractor forC,R R
(Type of Trade) (Primary Contractor) �J
For the project located at e 3 La Ck q�'
(Project Street Address or Property Tax FD#)
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
tiling of a Change of Sub-contractor notice.
L�ta'I RACTOR I ATURE(Quanner) SUH/-OZONTRACTOR SIGNATURE(Qualifier)
Jan-Michael Ortiz
R—UNT NAME PRINT NAME
3 � �i� 1
COUNTY CERTIFICATION NUMBER COUNTV CERTIFICATION NUMBER
State of Florida,County ofam.)CPcc1D�. State of Florida,County of kff_C�!`C'1 3P_
The foregoing instrument was signed before me this_af_-L�y of Tito foregoing instrument was signed before me this Ll day of
�1„I�ZB�t,y�(�o Z � _� \ _.20'albl
who is personally known=✓r lws produced a who Is personally known or h odured a
as identification. as identir,"tion.
TAMP STAMP
Signs f Notary Pub Signa re IF No ry hl'
n
Print Num ey,6xWiC .,a,,,,�,,,,, Print Name of A&twry Public
TIFFANY RENEE DENTON
MY comisSION it GO 2.43847."+' IyF�s:p: 1E..DEWTON
v �".= PIRES:July 31,2022
BondedPublic
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ry publicll ndorvmlers GG
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Revised 1 111 6/2 0 1u >r rY ublic Undettwltors
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
1 J - Building & Code Compliance Division
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BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
Nc,,Me 'Ft—on� have agreed to be
(Company Name/Individual Name)
the 'Q pd f'-N:[`ck\ Sub-contractor for Gy a -te_ Qm �EQ�f1U�Ca
(Type of Trade) 1 (Primary Contractor)
For the project located at "x)a 3 Si kc �`la Lo 1 J U
(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 IG U E(Qu lilier) UB-CONTR CTOR SIGNATURE(Qualifier)
C,e^{
PRINT NAME PRINT NA
COUNTY CERTIFICATION NUMBER Qp r(1`COUNTY CERTIFICATION NUMBER'
State of Florida,County o C C State of Florida,County ofCta �
L
The foregoing instrument was signed before me this y of The foregoing instrument
was signed before we thisday of
c II�KIY .20�by f i �1 .20Zby�R�1\�FUXN�EC—
Who Is personally known_ur has produced a who Is personally Immvn ✓u roduced a
as Identification- as infificafion.
STAMP STAMP
S a re o Notnry P b Ido
1Re
I 7
Print --=' -- Print Name of tary Public
TIFFANY RENEE DENTON
MY COMMISSION#GO 2,43842
rip {dz EXPIRES:July 31,2022
;fit'""Y TIFFANYRI "'TON
'•FS!FF° Bonded Thru Notary Public Underwriters +t .: MYCGMMISSION#GG243842
;^,•' p EXPIRES:July 31,2022
Bonded Thru Notary Public Underwdters
Revised 11/16/2016