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PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
prem l 0 Y1 a have agreed to be
(Company Name/Indivl ual ma)
the��/,, ,nney &C Sub -contractor for :5+ ( t_�C-ie- nt Ill�l
Typ ofkfrude) (Primary Contractor)
For the project located at s4 co Y�'1 tc�� _7��j lP4-,
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 (Qualire�r) / XS�ONTRACTOR SIGNATUREMb �) —
a
PRINT NANIE PRINT NAb E
COUNTY CERTIFICATION NUMBER
state afFlorida, County of 6 .i.ac Q
The foregoing Instrument was signed before me (kis a`i day or
who is personally, knownV_or has produced a E
as Identification,
STAMP
Slgonture ofNobryP Ite
G�acS'a—ada3
Print Name of Notary Public
COUNTY CERTIFICATION NUMBER
State of Florida, County of�`
Instrument was signed before me thy/_L diy of
produced a
STAMP
Damm #00 xr°°t
Ezphee; Auquet 23 2023
Aonded
Th ro Aw itery
�;;,+n,,�+.s
DERNNA MARIE GIVENS
aai
MY COMMISSION#GG 022023
EXPIRES: December 10, 2020
N''S(, po
SondedThti Notary Publlc Undalwdten
IIII
Revised 21
COUNTY CERTIFICATION NUMBER
State of Florida, County of�`
Instrument was signed before me thy/_L diy of
produced a
STAMP
Damm #00 xr°°t
Ezphee; Auquet 23 2023
Aonded
Th ro Aw itery