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PERMIT# 1 ISSUE DATE
o
PLANNING &.DEVELOPMENT SERVICES
Building & Code-Compliance Division
•
BUILDING PERMIT
- SUB-CONTRACTOR AGREEMENT
t5' v G�
have agreed to be
(Company Name/hdividual Name)'
the Sub-contractor for /1c;�'�r#1
(Type of Trade} (Primary Contractor);
For tlle.project located at 10-79-9f T 1 '
(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.
CONT Zzlm
IG.'tTLI_. (t Ualifierj SUB-CONTRACTOR SIGNATURE(Qualifier)
PRINTNA�11E ERINT`NANIE
COUNTY C.RTIFICATiON NUMBER COUNTY CERTIFICATION NU:NIBER
State of Florida,County orf Gt, 9,-) State of,Florida,County of
G...:
The foregoing instrument was signed before me this day of The foregoing instrument ttiassigned before me>this �'day of
ztr by c ,rYt f 20,2
who is personally,known_or-has produced a who is personally known or has produced a >V
as identification, as idat tification.
_.{ STAINIP srw �r
Signature d1rNotary Public rat YFtBr YIEE -ignatureof:otary Public
►�ATns
"My comm,
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Print Nam'of Votary Public F m- Bonded Tivu Budot NotarySerVtpa Print Name of Notary.Public:
4.# Notary Public State of Florida
' Lisa Bonura
y, My Commission GG"223725
Revised 11'16f2p16 �1� Expires 0513112022