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PERMIT # I I ISSUE DATE
PLANNING & DEVELOPMENT SERN
Building & Code Compliance Divis
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Na e/Individual Na e)
the Sub -contractor for Pop\,
(Type of Trade) (Primary
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
project, the Building and Code Regulation Division of St, Lucie County will be
filing of a Change of Sub -contractor notice
0,
CONTRACTOR SIGKATAJRE (QualiAer)
PRINT NAM
COUNTY CERTIFICATION NUMBER
State of Florida, County of aC t
The foregoing instrument was signed before me this day of
20q, by
who is pe ally known —,or has prod a
as i ntier ation. //
STAMP
S re of Notary Public
)
Print Name of Notary Public
yp�r Notary Public State of Florida
Christine A. Marsh
a My Commission HH 0267"
or Rd Expires 08/02/2024
Revised I1/16/201
S
have agreed to be
the above mentioned
pursuant to the
NUB-UVNTRACI'OlrN TURE (Quiflifier)
' Lcr-NI w
PRINT NAME
COUNTY CERTIFICATIO UMBER
State of Florida, County of
T e foregoing instrument wits signed before me this\ day of
20 lE+
who is personally known r has produced a
as identWeltion_
1f v STAMP
Signature Notary Public
of Notary
ft& Notary Pubi $tale of Florida
Christine) . Marsh
My Comm,oti.on HH 026766
'O Expires Ord/ /2024
r"'
PERMIT #
a 4
(Company M
the �'-z6:a7
(Type of Trac
For the project loc,
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Divi i n
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
e e %2)Cl1PO�ier7- �� Yu jC
e/Indlvldual Name)
t C At S
at
ub-contractor for o0 S'
(Primary C
(Project Street Address or Property Tax ID #)
It is understood th , if there is any change of status regarding our participati
project, the Buildi g and Code Regulation Division of St. Lucie County will
filing of a Change f Sub -contractor notice.
e2i�V �J
C2�3 7
State of Florida, County o��� �'
The foregoing instrument as signedb(e'fore m�e,thisi day of
20', by ` IJIJ 1
who is personally known r has produced a
as identification.
STAMP
of Notary.Publi
e of Notary Pub is
Revised 11/16/2016
mac.
a�av pU� Nctary Public State of Florida
b A Thomasina Bowins
My Commission GG 201733
as" Expires 03l29/2022
rT_
have agreed to be
2eq .�Ne.
ith the above mentioned
wised pursuant to the
I URE (Qualifier)
State of Florida, County of
The foregoing instrument vI a signed before me this � day of
20 by
who is personally known r has produced a
as identification.
Signature of Notary public
Print Name of Notary Publi�
' Notary Public State of Florida
A T o asina Bowins
My o mission GG 201733
e "R Expire 03/29/2022
STAMP
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