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the
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGRF.FNIF. N'i'
(Company Name/hidividual Nat )
---- =—(O Sub -contractor tol"
(Type oPTrad(z
Fol• the project located at
( Primary Contractor)
roject Sheet Address itr Property'T'az ID i!)
have agreed to be
it is understood that, if there is any change of status regarding our participation with the above mentioned
proiect, the Building and Code Regulation Division of St, Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice.
04
' gli�CTOR SIGNATURE ( lifier) '_....._.
]>iIiNT NAnlr
CUl N'fl` CERTIFICATIONN NOiVIBN.R
Stale of Flnrida, County of S}:.ld Cs e
The Foregoing Instrument leas sigucd before nic this 9 day of
^7_a_ -' 20 Z1, I, MANn 'A+1°tf1A011
who is personally known 1p or has produced a
as identmCM101
Sipn:uurc o' No ary Public —
"66o mo,
Print Nanu.of'Notary I'uh]]c
l:csisrd I I'Ib.301G I ,
I RENT NAME
COUNTY I Y CER I I FiCA1 ION XU:19BER
Suuc of Flnrida, Couatp of � �lC 1 e.
The loregoing Instrument u•as signed before ate this c6 day of
�.20Zti,by_)— C—
srho is personally known or has produced is
4ideWilricatiotublic ---
_ I�r a(\n0. C�uQ Ot M
Yriul N;unc of Noi:u•y Public
CE
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B11ildirlg & Code C't9mpli,,111ce j)i�,isiola
BUII•IAM; PI?Itlrl•r'
AGREENIENT
(('un,lrul�' vamc�rn(li�•i(Ittal \'an,c) —_— --------
thc_ _ ��
Stlb-contractor for
I=or the project locatc(l at Trt30)
WRT.Iccl Strect Address or Pro),crt} Tay t17 ! �
IMVC a_rrwtl to be
(Primary C.ontracim.) --`— -`--
It LS un(Icl:�too(I that, if there is any change of-stattr re`�ar(lin4 our participation with the above mentioned
ter(>jc('t. the (3tlI lllcg and Code Rc(71.11ation Division of St. Lurie County will be advlse(f pUt',Uanl to the
I ling ol C.'hilm,e of S
f!ub-contractor notice.
('r t I It.\(' I i tft till;\':1'fl'ttt•: ncrtifior)__. .. .—'—" ._
L'B-('ONIVAC TOR SIGNATI'Itl: (()ualilicr(
('(al'\"1-1' C't Itl'Il I('•�'I'IO\ .`1h11Rl.lt------- — L---_ �� `J
((.r)I \'I1 (:►:ltrli lc \'rlux.\t'.�il;i.li --_ - -
vt:nr
Skile of Florida. (bunt) of . UA C.l e
I'hc I'nrc.oing intilrunacnt teas siKocd hclitre me This —
dat' of, The foreg(iiu( in.clruntcnt si;;ncd hctore n,e dais
�Q 2o�, by.
hn is pcasxnanll+ Luunaa / producc(l
— -------_-- n hn is person:tll� I:non n �or has produt'cd a
:r. idcntilicatiun. ---- ---.—..------
a� idcnlilicalion.
tii: nalurc ul \nhu v I'r die — ----- ti":�1r .
------_ .._...- s r.�,, Ir
:rc ti �a!mahn'c nl' lolar}' Public
7 tk %S
Qnn�C� rCL Cut it `
_ Ov Deny. w) F�,l ( 0 00
I'rin! ..\':unc' nl' \olart Public —'—`_ __.,•— r c. n, �,�
oQ _—._...— — _....__.... _
ui c.;• hill( \antcal'�\'ol:In• Nublic
=ooAY P'L,o^ Notary Public State of Flcxida ,
Dena M FUIIw00d
My Commaasaon HH 054334
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