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SUE DATE
PLANNING & DEVELOPMENT SERVICES
a Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
AGLV A C IeC4, i c. have agreed to be
(Company Name/Individual Name)
the flae-lrtrt.l Sub-contractorfor SouX CvsfaM PO-6Is
(Type of Trade) 11 (Primary Contractor)
For the project located at IO-72S t6ftrYrS Rr, r-4-, 3L14q�;
(Project Street Address or Property Tax ID #)
It is understood that, if thera+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.
&r, Slack
CON RACTORSIGNATURP(Qy ji r) SU IGNATURE(Quelifier)
�2 rrn Sly cl!y �o�.' r_i —r �A�a V
PRINT NAME PRINT NAME
e,PC1145gIl'2 Lj rI'a
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida, County of z"
The foregoing instrument was signed before me this 4 day of
Dea.M6v , 20,2S by _ 121/ A s ld.4t
// I
who is personally known —ar has produced e
as I)deden�t/iifi action..
-0STAMP
Signature ofll Lary Public
7�(y J T: N'ra,'yty
Print Name of Notary Public
ROD J. MAtNE
' •K W My COMMISSION 4 GO 249819
EXPIRES: NoveNAW 4, 2022
?o,••oV Bonded Thin Notary Public lhldanallsol
Rovised l 1i162016
Stateof Fk,r1da,Couatyof f I&1_4'in
The foregoing instrument was signed before me, this q day of
0{LLM6y , ZOSo, b//y FO�t///k
who is personally known _or has produced a7
as ide.dr—thm. o/
OC STAMP
Signpfurwe0' NatartpoBc
Print Nade, of Notary Public
it;Notary Pub" Stall of Flondo
Ryan F. Slack
a My commission GG 950005
it; ENOM01/262024