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PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
COUNTY Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
Don Cannon Elecric, Inc have agreed to be
(Company Name/Individual Name)
the electrical Sub-contractorfo>i Master Craft Aluminum Products
(Type of Trade) (Primary Contractor)
For.the project located at 58 Flores del Norte, Fort Pierce
(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.
CONTRACTOR SIGNATURE(Qualifier) SUB CONTRACTOR SIGNATURE(Qualifier)
Jeff Jackman /4 .44
-ut- � Ts�e�
PRINT NAME PRRVT NAME
SCC131150586
25584
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of S i- _ I u c i e State of Florida,County of C.'c-
The foregoing instrument was signed before me this 17 day of The foregoing instrument was signed before me this-L-7 day of
March ,20 1-71by Jeff Jackman M G-C�- 20 )3by L4r-I-hL4_r roses
who-is personally known X or has produced a who is personally known ✓or has produced a.
as identification. as identification.
STAMP STAMP
Signature of Notary Public Signature of Notary Public
Sheryl D. Moore L�e
Print Name of Notary Public Print game of Notary Public
• pRY FG �
?�� VITTORIA WE88
Notary Public-State of Florida
•off;
Revised 11/16/2016 i ,, My Comm.Expires Feb 25,2018
°• Commission*FF 096069
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