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PERMIT# ISSUE DATE I
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division --- - 1
REC51VtD
BUILDING PERMIT
SUB_CONTRACTORAGREEMENT JUL ® 7 Z020
t
ST. Lucie County, Permitting
have agreed to be
(Company Name/individual Name) dd
the (�Q�'yj G Sub-contractor or rm 1�1.4t en C7 dem
S. ;
(Type of Trade) (Primary Contractor)
For the project located at t3 9 ' S Q r CL 104 g 4 01
l.o h �eSi d�.. v� Fair-I- P �erc�,�
(Project Street Address or Property Tax ID m)
i
It is understood that, if there is ny change of status regarding our participation with the above mentioned
project e Btinge
ilding and Re lation Division of St. Lucie County will be advised pursuant to the
fili g of a C of S - ntrac r notice.
i
i
C i RACTOR SIGNATUR ualilier) SUB-CONTRACTOR SIGMA URE(qualifier)
f kv�n Ho
PRINT NAME PRINT NAME
COIJA'rY CERTIFICATION NUNIBF.R COUNTY CERTIFICATION NUMBER
State of Florida,County of '' ^^ State of Florida,County of �
The foregoing instrument was signed before me this�tiaay of The foregoing instrument was sinned,byefo,,r�e m�e�tjhis day
�o�f� q
fb
J ,2�b �KN 1 L
:identification.
ersonally ka who is personally or has produced a
as identification.
STAMP STANIP
re ofN ary Signature o No ry ublic
Print Name of Notary Public Print Name of Notan Public
�YaRYgss Yesenia Sarzuela Yesenia Sarzuela
NOTARY PUBLIC �pZARYgsso'NOTARY PUBLIC
a STATE OF FLORIDA aF -STATE OF FLORIDA
Revised 11/16C2016 a Comm#GG317472 ''L 2 Comm#GG317472
s�vice;g�� Expires 3/28/2023 •SINCE 19�0 Expires 3/28/2023