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PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT ;Qe
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Sdr fillde
(Type
For the project located at
5cc,DtA
have agreed to be
Say // / �j
Sub -contractor for /gyp a0`LeCq pt4 /
(Primary ConTractor)
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(Project Street Address or Properry 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 (Qualifie
k '� � /-0.
PRINT' NAFIE `
I5155���
COUNTY CERTIFICATION`NUIMIBE.R /�
State of Florida, County oc i �..s- k-�C
The foregoing instrument was s g d before me,this JI._ day of
20ryl bey,1M 1'CaT Ta?J
who is personal) own Xbr bas prod
as identification.
STAMP
SUB -CONTRACTOR SIGNATURE (Qualifier
PRINT NAME
I,S-I
COUNTY CERTIFICATION NUMBER p
State of Florida, County of. �Lf,L UDC..
The foregoing instrument was signed before me this n day of
a n_A Cd 20Dq by �l� ity, Li w
who is personal 1 _n or has produced a
(ti4Q/�
Print Name of NotarAPublic
Notary Public Stale of Florida
DanJones
RevisedRE9
302070 �pc, Qa My Conl misalon GG 35201e
er E10.0710412023
STAMP
PERMIT# ^O (y ISSUE DATE
17
the
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Divion 9y �'c
r 'r{V
SS � a
BUILDING PERMIT001
n� m
SUB -CONTRACTOR AGREEMENT �'dp
r
(Type of Trade)
For the project located at / Z`
C
have agreed to be
Sub -contractor for 7 f// 6 / �(= I?OG`C f nw
(Primary Contractor)
(Project Street Address or Pf6perty 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 ualifier)
KIrM 6v
PRINT NAME
COUNTY CERTIFICATION NUMBER State of Florida, CountyE�'% k
The foregoing instrument was si . giled before me this day of
20c�70 by ` IM`1f
who is personally owor has produced a
as identification
STAMP
Signatu ublic
PrintN eof Notary FW blic
NotaryPuhlle State of Flodda
Danyel Jones
p . My Commission GG 352010
9j 'e Expims 07/0/1023 J
Revised II/
u 13001175
C UNTY CERTIFICATION NUMBER
State of Florida, Countyc's�e".,'
The foregoing instrument was sign before me this � day of
y 20`LQ by l c /
who is personally own _or has pr duced a (� % p
ns identification.
STAMP
Signnture otar ublic
�44A o(-)nx5
Print Name of Nota Public
. NcNotary Public State of Florida
i DarryeIJones
+� •' My Commission GG 352016
yq Expires 07/04f2023