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PERMIT# ISSUE DATE
a--`J -- PLANNING & DEVELOPMENT SERVICES ( �J u 3
Building & Code Compliance Division
-- - — - - BUILDING PERMIT
APR 16, 201f
SUB-CONTRACTOR AGREEMENT PER;liITTo.-i
St. Lursa
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have agreed to be
the?(Company Name/Individual Name) ,,��//�� Cane ` -
u.�-+�►'Lb Sub-contractor for /`f �° U�riG►-cAC�C�p�J
(Type of Trad (Primary Contractor)
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For the project located at 1�1 (00 10to �43C( 6�4, P a 0
(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. j
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CONTRACT (Qualifier) S GN TU E(Qualifier)
d ::�O<
--F. � � d
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of`Q I bA State of Florida,County of
The foregoing instrument was si ned before me this day of The foregoing instrumentwas signed before me this�day of
20jJb ( ,20��,byv�`�_F d
who' personally know, _or has produced a who is personally known 1-or has produced a
as denqica'on. as i ntification.
STAMP STAMP
ignatlic Si natu/r1e of Notary(�Pub�li�c�
a.
Print Name of Notary Public Print Name of Notary Public
I
FARA D HERNANDEZ AP!' `"k% FARA D HERNANDEZ
°s MY COMMISSION#FF172418 MY COMMISSION#FF172419
Revised 11/1 /'�td°':: EXPIRES October 28,2018 ', d+:•' EXPIRES October 28.2018
r N,., or ram.:•
3SB-0153 FbridallotaryService.Wm
(407)39"153 FlorldallotarySeivice.com (407)
,EIS
APR 10 20,11
PERMIT# ISSUE DATE
PLANNING&DEVELOPMENT SERVICES
Building&Code Compliance Division
- - BUILDING PERMIT
` SUB-CONTRACTOR AGREEMENT
i
l
5 le-c 1 C have agreed to be
(Company Name/Individual Name)theLuek
��ELECTRICAL Sub-contractor for A q'I6 '
{Type of Trade) (Primary ontractor)
3 � 60 NU .J
For the project located at
f. � El
(Project Street Address or Property Tax M
I
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.
ONTRA (Qnal ter) NTRACTORSIGVAT oatiGer
I J
�nl ^1 I
PRINT NAME PRW NAME
i
COUNTY CERTIFICATION NUMBER COUNTY
//JJ COUNTY CERTIFICATION NUMBER
State of Florida,County of-6f- k�C..C� State of Florida,County ofLL
The foregoing instrument was ' ed before me this 13 day of The foregoing instrument was signed before me this_, ,day of
20� / IT 2(p7Yor
y � �.R14
who' ona0y known or has produced a who' rsonaany known has produced a
as' en ficati i eatio
STAMP / STAW
ignnture of Notary nbtie Si onhire of otory 61ie
i'0� •4aL FARA D HERNAND ""
`°<':; FARA D HER ND Z
,�t r=: j o
"I Q` MY COMMISSION#FF172419 MY COMMISSION#FF172419
EXPIRES October 28.2018 :+.F oF� EXPIRES October 28,2018
(407)398-0153 FloridallotaryService.cOm (407)398-0153 FloridallotaryService.rom
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