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PERMIT# / ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
R - Building & Code Compliance Division
0
0 0
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
PIL'J "J.
}► have agreed to be
(Type of Trade)
For the project located
ndividual Name)
L Sub -contractor for jeL hl
(Primary Contractor)
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.
CONTRACTO'RISIGNATURE (Qualifier)
PRINT NAME
_CGjL Q-S13 3 1R. l
COUNTY CERTIFICATION NUMBER
State of Florida, County of.)M�an
( The foregoing instrument was si ned before ImeIthis �..($, /�d�9ay of
(ch '2O,_,by (Ina 0 I,'�lV�c
who is personally known _or has produced a r—tl �
as identification.
n46l�n &
Sigdature of XbWy Public
�t-�qim Pal W-14
Print Name of Notary Public
,a`aµste� PETRONA PASCUAL
NOt" P011C - State of Florida
COelnllaSIOn III FF 995716
Revi i My COMM. Expires May 24. 2026
80flOdIIN011011 National Notary gssr,
ljf� als/
SUB-
,fOPTRACTOR SIG (Qualifier)
PRINT NAME
4�5'd 13too -S'859 3LG .2Q8-IS
COUNTY CERTIFICATION NUMBER
State of Florida, County of -On$
The foregoing instrument was signed before me this dayof
20_L, by / 11► QgL P4&
who is personally known or has produced a
dentificatio�
asji�
jn.
L
STAMP ' " —
�J
14j(RiFtAAYMOND PR
Signature of Notary Public
NOTARY PUBLIC
i L
c STATE OF FLORIDA
Carom# FF192675
OA
Print Name of Notary Public
F Expires 1/26/2019