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PERMIT# I - I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
0
_ have agreed to be
(Company Na[[melind_ivviiduall Name)
the �eL'- V '1 C � t Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at
(Project Street Address or
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 Change of Sub -contractor notice.
CO tACPO SIGNATURE(Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was sig a jjffe 1me this y of
S 20Zd 0�4
who is personally known or has prod ed a
as identification. _
v v— STAMP
tu Signar of Notary Pubkt
Print Name of Notary Public
a
i
Revised ll/16Q016 Expoes
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this _ day of
, 20_, by
who is personally known _or has produced a
as ideatfication.
STAMP
Signature of Notary Public
Print Name of Notary Public
PERMIT# ZC303 _= O�7- 77 ISSUE DATE
, VN
■may; t�,T .. :.
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For the project located at
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for
Lug
have agreed to be
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 (Qualifier)
ee �
.i;RINTZi F,: .
3t�tib
COUNTY CERTIFICAT14MN NUMBER/ �
State of Florida, County: of -�. �.4f.C.f e,
Thef "inginstrumeutwas signed before me this day of
P, ;a by �eP yr }}erber-1�
wh parsonalty konwn or has prodnceda_.'$�[_�.+C
as identification.
hlic STAMP
Signature ofNotar Poic - - (�
Print NamebfNoh ublie
+'.. AUDREYB.HUMPHREY
MYCOMMISSI0N#GG300817
;'•d EXPIRES: March 6, 2023
--epFi;°P Bonded Thor Notary Public Underuutars
Revised 11
SUR-CONTRACTOR SIGNATURE (Qualifier)
P INT NAME
IM
COUNTY CERTIFICATION .NU IMBER
State of Florida, County 4 -, Li `f:•{',
The foregoing instrument was signed before me this :!/-- day of
who is personally known ` or has produced a
asMentiLcation.
J (((%%% ��` /1
���fa� STAMP
,atuC ofNoiarp Pubs
of ame ofNata ubiic��
�:*k. Nmary Pan ,State of Frond,
ctynndoim Hepwono,
ty', RtyCemmisaonGGtd93tie-
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