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PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
COUN
- - -- - BUILDING PERMIT
RECEIVED
SUB-CONTRACTOR AGREEMENT
JAN 31 23 1�
ST. Lucie County, Permitting '
Aolc,(Ican Pools 5`0 a S have agreed to be
(Crrz
ame/Individual Name)
the �ta"/l Sub-contractor for AyeA c cUn OoD LS
(Type of Trade) (Primary Contractor)
For the project ect 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.
UK
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CONTRA OR SI A (Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
t e + I '
PRINT NAME PRINT NAME
COUNTY CERTIFICATION COUNTY CERTIFICATION NUMBER
State of Florida,County of uctkan oAxr State of Florida,County of
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this 3_day of.
20f by 20L8 by
who i per nally know-
4
or has produced a who is personally known kr has produced a
as i entifica'on. t as identif ation.
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STAMP9_�CA,6,4STAMP
Sig store of otary Pu is V v Signatur of N tary Pub I
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Print Name of Notary P blic PrinfName of N5phrj Public
Cn tg Emmette Maccoy
NOTARY PUBLIC
STATE OF FLORIDA
Revised 11/16/2016 Comm#FF994401
Expires s2wo20
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