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RECER"TD JAN 31 2917
PERMIT# I ISSUE DATE
-,- T PLANNING& DEVELOPMENT SERVICES
Building & Code Compliance Division
13UXLDIN'G PERMIT
SUB-CONTRACTOR AGREEMENT
�l� i rneins"m �U ~ Ni _ have agreed t t,
the1� any ame/Individual Name)
riSub-contractor for ncq.oci e-I �6n� C Ldr I
(Type of Trade) (Primary Contractor)
c
For the project located at L +
(Project Street Address or Property Tax ID#)
It is understood that,if there is any change of status regarding our participation with the above went: ox::d
project,the Building and Code Regulation Division,of St. Lucie County will be advised pursuant to lic
filing of a Change of Sub-contractor notice.
CONTRACTOTt SIGNATURE(QaalFfier) SUB-CO O S G TURE(Q=Hfier) — —
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER, COUNTY CERTIFICATION NUMBER
State of)+lorlda,County of State of norida,County of St Zu r-`e,
The foregoing Instrument was signed before me this day of he foregoing Instrument was signed before mo this 4 11y of
.20.,by 20
who is personally known or has produced a I 71, -r�.. k.own
Apr hos pYodaced a
as ldentiflcatlou. as iden(Meation.
STAt" STAMP
Signature of Notary Public ign—attire of Notary Pubr
Print Name of Notary Public Print Name of Notary Public
RHONDA AI rFkTY
_: MY COMMISSI( N i GGoiS7'2p
Revised 11116l2016 ,�� EXPIRES Jar.!sr 08.2 21
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