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PERMIT # ISSUE DATE
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the
of Trade)
For the project located at
P1LANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
aLnas P-) (0
vidual Name)
(Project Street
have agreed to be
Sub -contractor for A O,on :Wyy M_'dr)
(Primary Contractor)
or Property Tax
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- ontractor notice.
CONT CTOR SIGNATURE (Qualifier)
If .
PRINT NAME
CGc `�zd 7l 3
COUNTY CERTIFICATION NUMBER
State of Florida, County of M C C
The
foregoing instrument was signed before me this Q- day of
who is personally known VC or has produced a .
as identification.
Revised 11/16/2016
STAMP
Y rug LEANNAMARIE MCKINNEY
commisslon # 00 231947
Expires June 25, 2022
��OF V P\o Bonded T1uu Budget Notiry Senla�
SUB-CONT /SIGNATURE (Qualifier)
7RA�_�Jlt LLJ)1
4 �
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
Tho oregoing instrument was signed before me this ,1! day of
rD'l 20al by a�CC�'I , ( k 1 u t
who is pe nally known or has produced a
as ident is ion. / ! lT
STAMP
?— r
AR- Ygssol NOTARY PUBLIC
a -.STATE OF FLORIDA
y' Comm# GG127647
Expires 7/24/2021