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PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
i
' BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
Se{- (� to -� {• r �,n L have agreed to be
(Company Name/Individual Name)
the E lllr::: IGIA{A Sub-contractor for 8AqWyp0- (,q NtVA
(Type of Trade) ,�- (Primary Contractor)t 1J
For the project located at 40 &ft�N5� C;,fG[A) r C,
(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.
CONTR4CTOR 5e,kkRE( lifter} SuB-CONTRACTOR SIGNATURE(Qualifier)
GAAA:;704L t
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of Pr-Ari s7 State of Florida.County of 3 �- L—Li !
The foregoing instrument was signed before me this 140'day of The foregoing instrument was signed before me this -:�'I day of
eTO"Ua ry .20aI•by Todd 6014;DV t �'• •20
who is personally known_or has produced a FL 01• who is personally known!�or has produced a
as identification. as identification.
I 1
• STA_NIP
Signature of Notary Public p� Oltl L. V rt�yS Signature of N9tary Public
`1F COMMISSION#GG416912
Lori L.c �Ta h n ' EXPIRES Saptember'_6,2023
t`
Print Name of Notary Public Print Name of Notary Public
MEE
ate of Florida
Revised 11/16n-016 ter GG 330259
023