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Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
C
have agreed to be
(Cimpany Name/Individual Name)
the E 10 C t-/' le L Sub -contractor for `jam r C �e��` act A C V %�
(Type of Trade) j (Primary �Contractor)
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.
C ANTIWTOR SIGNATURE (Qualifier)
k,-,AA na,21,1-eW
PRINT NAME
00 � 3 V
Cpq
rY C RTIF CATION NUMBER
State of Florida, Countyo - _
The foregoing instrument was signed of re me thim:�/ day of
Y 1 Z by C�
who is personally or has produced a
as
STAMP
of Notary Public
of Notary Public
NotIf Y
Notary Public State of Florida
Danyel JonesMyCommission GG 352016Expires 07/04/2023
Revised 11/16/2016
F-C 130C/] `Z,7.5-
COUNTY CERTIFICATION NUMBER
State of Florida, County( •�
The foregoing instrument was slad�eme thi.-qda f
2Q, �3
who is personallyk� has produced a
Y
Notary Public State of Florida
Danyel JonesMy Commission GG 352016
Expires 07/04/2023
STAMP