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Sub Permit - 3191 Jet Terrace
PERMIT # ISSUE DATE COUNTY f L D R I D A PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT S Cuc--mic S1 have agreed to be (Company NameAndividual Name) f the L-Ow Sub -contractor for JJ(,0VS CZ:,MPAAi(6S (Type of Trade) (Primary Contractor) For the project located at 1G (Project Street Address or Property Tdx ID #) L 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. CONTRACTOR SIGNATURE (Qual er) GgAc'o PO L; PRINT NAME 0-aGw ©2.5'7 60 COUNTY CERTIFICATION NUMBER r• State of Florida, County o f1 The foregoing instrument was signed before me this day of who is personally know0t:: or has produced a as identification. if:L a . i Signature of Notary Public l MICHELE BALL-VAUGHN Print NamATE OF FLORIDA i Comm# GG132424 W Expires 9121/2021 Revised 11,161016 SU O CTOR I ATURE (Qualifier) AL-Aw�1 14 VX PRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, Countyof__Lq,'� Ili C� The foregoing instrument was signed before me this UI day of 20 by I tJ t9101; It who is personally known f or has produced a as Identification. STAMP 41v�' 5 STAMP Signature of Notary Public Print Name of Notary Public=B03NNEE NIELHWI80 , 2024