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Sub-Contractor Agreement
PERMIT# CPO ce^ © —�:,L / 1;� ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building& Code Compliance BUILDING PERMIT I JUN 22 -Wo SUB -CONTRACTOR AGREEMENT ST. Lucie County, Permitting have agreed to be (Company Name/Individual Name) the 16 A- ( Sub -contractor for ay 1" 8." (Type of Trade) (Primary Contractor) For the project located at �a 5�� ,�%�h P,YIe_7aL (Project Street Address or Property Tax 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 Chan e -contractor notice.. CONTRACTZIR SfGNATURE (Qualifier) T NAME COUNTY CERTIFICATION NUMBER State of Florida, County of 4, L e,' The foregoing instrument was signed before me this day of lT.n-2 , 20_2LSlby G q y A' dr% tk A who is personally known _or has produced a l as identification. Signature of Notary Pub -C/ar'wwd. d\"I Qr Print Name of Notary Public LIE G111 ��yP1ANiGG 022023 1 •:?: •'•x.�'•,. I,1Y COM �embet t8, 0-10 hers k FXPIREsota i On Revised 11N�; �. o` = Bo ed SUB -CONTRACT SIGNATURE (Qualifier) C/C, y&-A 6e I PRINT NAWIE COUNTY CERTIFICATION NUMBER State of Florida, County of The foregoing instrument was signed before me this day of who is personally known or has produced a P !� as identification. STAMP Signature of Notary PhIllic S�) vta Y\Ta- 6"\[A ,% � Print Name of Notary Public `� a" DEANMMARIEGNENS MY COMMISSION # GG 022023 t` EXPIRES- December 16, 2020 i 2 FZ Bonded Thor Notary Public Under it.1r. i STAMP