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PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
-s, --V • t- `r - -e p- I- have a eed to be
(Company Name/Individual Name)
the L L. 2 ;--r-A- L Sub -contractor for �.. 1A�,T� a✓ � / �c�c�Y'��
(Type of Trade) (Primaiy Contractor)
For the project located at � bz AV,<, �/.�4"" T�1/
(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.
i YA (A-Vo /Se f6
COCTOR SIGNATURE (Qualifier)
/
•[ _jtC i A -AO ��'e�c� gvl--
ail) COUNTCERTIFICATION NUMBER
State of Florida, County of *,
The foregoing instrument was signed before me this)•I101 day of
20 9 by
who is personally known _or has produced a ss r Ivey- L (g nip
as identification.
STAMP
Si nature of Notary Public
1 r--C 10- 1, l0 &u.0 �yo�
Print Name of Notary Public
: Imp. PAUL
;�� ':; Camin4safon a� GG 2981Q1 A
i? wa Vhs Much i6, 202s
Revised 1 /1 Y Bor*dThmTmyFaaulniurW
SUB4NTRACTOOSIGNATURE (Qualifier).
PRINT NAME
15 C I>oo 5,
COUNTY CERTIFICATION NUMBER
State of Florida, County of 14 L0o1p
The
foregoing instrument was signed before me this Z~C'day of
,20'711,by_
who. is personally known has produced a
as id ication.
�f
Jn- STAMP
ignature of Notary Pubhc
���1111111111///
Print Name of Notary Public
NOTgRY m•.��
:p UBLIC L;
//////�'OP FI IIO�0OP���
PERMIT # ISSUE DATE
(Company
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
c An, OF,
Individual Name)
the _ ; i u nn
(Type of Trade)
Cia46,
have agreed to be
Sub -contractor for Lq c( t G n(D 0 14
(Primary Contractor)
For the project located at 5 '/ b 6 _DeJ27j14 A/�o_ F-T 2l C rc2. FL 3 N qS
(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.
L-�G L�Gee•J ~—
CONTRACTOR SIGNATE (Qualifier)
&C'_C Gs�,�
PRINT NAME
ail 1 A
COUNTY CERTIFICATION NUA4BER
State of Florida, County of '
AB -CONTRACTOR SIGNATURE (Qualifier)
—T-r—v .
PRINT NAME
CrC tq l72-g9
COUNTY CERTIFICATION NUMBER
State of Florida, County of
Thee foregoing instrument was signed before me this day of Tlie foregoing instrument was signed before me this W day of
0I l040ZJ,k-� 2VA by2 Jn.C. 114 CU 10 j�� (.� ����ej VJGL(Y, 20aJ, by 7)CVl YI A 6UP—rS
who is personally known _or has produced a T`• �d/�'�% who is personally known _or has produced a fL UL
as identification.
Sign ure of Notarupublicem , A n�
• VV" F� P
Print Name of Notar Public
as identification.
STAMP STAMP
gnature �( gotary Public
1 `CU< ! _n� P, 'V kiK-0- rC
Print Name of Notary Public
pUDRE�t1REY I
••Pv'du8j;. OMNdSS10P! #1 GG o;�p817
-'_� � MY CXPIRES:h'.aP�h16';l,�dotvtritecs
Revised 11/16/2016 '
MARIANA TEIXEIRA
=�y p°m& Notary Public, State of Florida
" commission# GG 345282
My comm. expires June 16, 2023