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1 001 I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
..S �— � 1 t -�Z-c- �'� have agreed to be
the.7(Co any Name/Individual Name)
t<:!! ,-z, � Sub-contractor for
(Type of Trade) n/ (Primary Contractor)
For the project located at R ZO <7-) , a-A • Fr r l golce
(Project Street Address or Property Tax ID#)
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.
v1�
CON OR SIGNATURE
f(Qualifier) S B CONTRACTOR SIGNAT (Qualifier)
1C Mod
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of�.Ll l� S State of Florida,County of x.Cl
The foregoing instrument was signed before me this I y of The instrument was sighed before we this;V' ddaay.off^I
20�b by J CL r c c1* ` 'y. �C1,P 1 , CL .201-I bye l.�tdl LO_Y e_ �— �'1�`�t�
who is personally known ✓or has produced a r who is personally known V or has produced a
as identification. as' tification.
nL�d_.Q STAMP STAMP
Signature of No ry Public Signature of Notary Public
L"S:k - uc�l t�'tiP �2 C (t Cl J C�.1 rrl z S
Print Nan*.oY Notary Public Print Name of Notary Public
ZiE
c State of Floridainesion FF 208475tu'r.
CECIUA JAIMES
4/2019 �y p �.State of Florida
Revised 1 1/16201 6 Commieebn#FF 929267.
n`b • My.Comm.Expires Oct 20,2019
1
PERMIT# ISSUE DATE
-. PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
•
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
J �Ieahm and dir Al i holt have agreed to be
Company Name/Indivi al Name) �7 -
the AeCkg&f A,I Sub-contractor for
(Type of Trade) (Primary Contractor)
For the project located at Z D AA I iti-
(Project Street Address or Property Taal ID#)
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.
VL/d
NTRACTOR SIGNA (Qualifier) SU C NTRACTOR SIGNATURE(Qualifier)
PRINT NAME PRINT NAME
( _q -77
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of Sr LuC/F Q State of Florida,County of
The foregoing instrument was signed before me this U T day of The foregoing instrument was signed before me this LlT y of
M AA 20 ,by Ja/YICS f //H�t' 2Aa,by �C,,ur-ed
who is personally knowor has produced a who is personally known ✓or has produced a
as identification. as identification.
STAP 1��q JuC�I�Q�-1 1 k�C�__�_�_ �_ STAMP M
Signature of Notary Public Signature of No{firy Public
SUSAN�;;►:�::'•• MONTENEGRO � 1 u S S a 1'Yl o of t,0_e
Print 'e o rYYM MISSION 0,GG 08M Print Nam f Nota Public
April 2,2021
��. P''���`.� Pt�bie oldrr pub Notary Public State of Florida
""'" ° Alyssa Modine
c My commission FF 208475
r'oFrp� Expires 0411412019
Revised 11/16/2016
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PERMIT# ISSUE DATE
I
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7-"_ PLANNING & DEVELOPMENT +SERVICES
Building & Code Compliance Division
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-, -WN 11
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
Kemp Krueger 4K Plumbing&Consulting Services, Inc. have agreed to be
(Company Name/Individual Name)
the Plumbing Sub-contractor for &18
(Type of Trade) (Primary Contractor)
For the project located at 66 k�t:5►,,A
(Project Street Address or Property Tax ID#)
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.
CO' CTOR SIGNATURE(Qualifier) SUBS^ONTRACTOR SIGNATL V(Qu: er)
6k,14061 /I/l 41 .P Kempton D Krueger
PRINT NAME PRINT NAME
2__( 7 7 1001534
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of _ State of Florida,County of ,�CJ�I�
The foregoing instrument was signed before me this l '—�y"My of The foregoing instrument was signed before me this �Mday of
20\1 by \cA. k Ck �(Yl d t)W ,20_Q,by \�e_n'o ''— r u,eo
who is personally known or has produced a who is personally known I/ or has produced a
as identification, as identification.
91 O STAMP COLJ d`-t_ .STIiW
Signature of No. ey Public Signature of No ry Public
1PaY Ru Notary Public State of Florida
NotaryPublic State oFlorida =° a 1)Andinp
Print 1� +B�e�q a31 rr�IysS iilAodine Print N. _oio�ry (y`tlinmission FF 208475
C' o� My Commission FF 208475nog Expires 04/14/2019
oF Expires04/14/2019
Revised 11/16/2016
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1 ( i
PERMIT# ISSUE DATE
-, PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
. BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
Cole Construction Services, LLC
have agreed to be
(Company Name/Individual Name)
the Roofing Sub-contractor for Cole Construction Services
(Type of Trade) (Primary Contractor)
For the project located at 1720 S. Brocksmith Rd. Fort Pierce, FL 34945
(Project Street Address or Property Tax ID#)
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.
CON tr
OR SIGNATURE(Qualifier Jn SUB- ON RAC--TOl!R SIGNATURE(Qualifier)AI-'ed tmd'A
I
PRINT NAME PRINT NAME
77
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of State of Florida,County of
The foregoing instrument was signed before me this I day of The foregoing instrument was signed before me this ��day of
2011,by_ U"e_& WOCtlo& 20",by 0,122_d Mod l yy
who is personally known✓or has produced a who is personally known k�,`or has produced a
as identification. as identification. 1
STAMP J�i�fd� _pA��J� STAMP
Signal Signature of Notar ublic
4�0°o� Notary Public State of Florida
? Alyssa Modine 0 °uee Notary Public State of Florida
Print N t N i P
rna i' t f mmission FF 208475
'tzm!t���
@� Lo
of�o� Expires 04/14/2019
Revised 11/16/2016
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