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;F+"" ;: TERESA L KAMERIK I
MY COMMISSION#FF227168 ;ooly Per:,, t)ANiECLE+CANNEY-
o;;�,; EXPIRES May 05.2019 �a° motary Rubllc-State of Florida
•tC7,3E9-C'53 fkakW"a Service ww 'n u ;— Commiss➢on i�FF 699125
Y��� Bo ;ttxougb Plattonzl tVotary Assn.
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PERMIT# ISSUE DATE
PLANNING& DEVELOPMENT SERVICES
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Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
ACLU (G l( C7 l T C'yi(- have agreed to be
(Company Name/tndividual Name)
c Elivi«C ---- --_—Sub-contractor for M e I=t2—!d C a t7 S bfV C�I'u-, -- -
(Type of Trade) (Primary Con tor)
For the project located at
(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 SI NATURE er) SMCONTRACTO GNATURE(QaaWer)
AWN
dk 6a
PRINT NAME PRINT NAME
23636 tg62q
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
— State of Florida,County of ✓f G State of Florida,CountyThe foregoing instrument was signed before me thbk% day of The foregoing instrument was signed before me this day o ,
202 by 1 V��1 Q�� S 20 by
o personally known)�_or has produced a who is p lly known o s produced a
as id tifieation. ast tk►n. \�1{iiiiilllf//!
� STAMP r Q��sE S;VIR(i/����ii���i
of uW. Signatare of Notary Pubue .-VZ?oer 22', l o•.
.�. e 20�9�
••
noris�_9 y%. #«FFoaa192 .o
Print Name of Notary Public PriotName of Notary Public QS
o S_ TERESA L KAMERlK
r; MY COMMISSION FF22�1E8;
Revised 11/1 UIP EXPIRES May 05.20t9
IC7 1`�9•C',N �Iwldallola s..can
� � I I
PERMIT# ISSUE DATE
I
------ �, PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
COUNTY
•
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
AQ UL'1 Dj rntn 5 I o/h Pj U tm bi n G '�C yw t�c e S have agreed to be
Company Name/Individual Name)
the P/U w,b t'n G Sub-contractor .for
(Type of Trade) (Primary Contractor)
For the project located at �� ���`�S � �--� S �►�
(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
i
filing of a Change of Sub-contractor notice.
CONTRACTOR SIGNATURE(Qualifier) SUB-CO I O SIG ATURE(Qualifier)
MCA(1C MCAt s "RDber4 U,dIu KA
PRINT NAME PRINT NAME
2363C1 t �6 2 8
COUNTY CERTIFICATION NUMBER p COUNTY CERTIFICATION NUMBER
State of Florida,County of 5 ' 1 ILLI State of Florida,County of cz 2
The foregoing instrument was signed before me this\� day of a foregoing instrument was d before m1 e this a y of
by
by
who is personally known X or has produced a who is personal) known_A__`ar has produced a
side tification, as Identification.
STAMP G STAMP
�foature o He S gnature of Notary Pub
I
.e.1q eSc, m AC-
Print Name of Notary Public Pri t NrairWof Notary Public
TERESA L KAMERIK ;4'•'r%. RHONDA LAFFERTY
MY COMMISSION#GG058720
MY COMMISSION#FF221168 ='
- EXPIRE May 05.2019 EXPIRES January 08,2021
Revised I
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C'63 rlwWaNwa service cuir i
I I
PERMIT# ISSUE DATE
I I
PLANNING &DEVELOPMENT SERVICES
. UNTY Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
Q rNS Ko yc l2 o a-A--,5 have agreed to be
(Compare Name/Individual Name)
the (L o o�1-,!y Sub-contractor for M c I-12y (G►-,S 4-v c-41�41
(Type of Trade) _ (Prirgary Contractor) - -
. ff _
For the project located at � � S o t,>
(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;clewill be advised pursuant to the
filing of a Change of Sub-contractor notice.
TRACTOR SIG ATURE(Qualifier) TOR S NA (QuaHflMu c K M(ltvs PRINTNAME
71) 24A-I $1
COUNTY CERTIFICATIONN`NUMBER COUNTY CERTIFICATION E
State of Florida,County of i State of Florida,County of
The foregoing Instrument was signed before me this `Uq day of The foregoing instrument was signed before me this day of
20n bycX, 1 U 1Q _ .20�by
who is personally known Lor has produced a who Is pArsonally(mown or has produced a
as id 8ftc"InIh Jasi c on.
STAMP STAMP
St ptur�Je p[�o/�� Signature of Notary Public C\
Print Name of Notary Public PrTnt Name of Notary Public
TERESA L KAMERii{
My COMMISSION#FF227168 ��still
�� SHREISS SCHWAB
OS�Y p4eli�.
�'?o.k,,•` EXPIRE&May 05.2019
P. .° Notary Publlc-5tate of Florida. '
RevIS FkxidalYot'a Servitr cum• °a •
Commission•#FF 205427
%, oF�o;:P`` My Comm.Expires Mar 3,2019 j
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