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PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
h d
(Company Name/Individu i Name)
ave agree to be
the jSub-contractor for C j etc �} P Cbl�-A (.�
(Type of Tr (Primary Contractor)
For the project located at
(Project Street Address or Property Tax TD #)
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
filing of a Change of Sub -contractor notice.
ark`�
ONTRACTOR SIGNATURE ( ualiFer)
C� i
PRINT NAME
C����`�
COUNTY CERTIFICATION N ER
State of Florida, County of
The foregoing instrum��entJJwas si before me this day�f F�
�L.J`f'�.t�'
who is personally know�or has produced a
STAMP
LfY •crs Notary Public State of Florida
Pat McPeak
-w My commission GG 275671�Y Expires 0310812023
Revised 11/16/2016
be advised pursuant to the
(Qualifier)
NAME
-r
L '��
COUNTY CCERTIF'ICATION NUMBER
State of Florida, County of
The foregoing instrument was sig ed before me th' day of
who is personally known J\ or has produced a
$. .. Notary Public State of Florida
Pat McPeak
My Commission GG 275671
'Fora Expires03/0812023
STAMP