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PERMIT # ' /�,�1 2 ISSUE DATE
O�Q. Vi3
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Pct.� / Uv,�o Cockvz7�a,,,
( ompany Name/Individual Name)`
the 'EJ C— Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at Y-6a �( Cd b� l�f � if-� y—
(Project Street Address or Property Tax ID #)
have agreed to be
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.
NTRA OR ATURE (Qualifier)
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PRINT NAME
COUNTY CERT , ON nMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
O Jby W"O
who is personally known or has produced a
as identification.
Signature of Notary Pqwr
SUB- SIGNATURE (Qualifier)
PRINT NAME
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COUNTY CERTIFICATION NUM
B R
State of Florida, County of �/ v�
The foregoing instrumentwassigned' before
me this o day of
6y 4A l 0
who is personally known _or has produced a
as identification.
STAMP
Signature of Notary Public r f A
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Print Name of _a E
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My oiss '0 "-/vo �yN
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the
PERMIT# I lSl ^ ® ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
RECEIVED
(Company Name/Individual Name)
(Type of Trade)
BUILDING PERMIT SEP U 8 2021
SUB -CONTRACTOR AGREEMENT
St. Lucie County
Permitting
have agreed to be
Sub -contractor for 1—�yz I OQV'-ow— L ,ll`l �✓
(Primary Contractor)
For the project located at P (' oq (S�WtE4-a�
(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.
CO TOR SI (Qualifier)
t 11,6 LCk>-�C�'--
PRINT NA
COUNTY Zngn IFICATIOEU J R er
State of Florida, County of
The foregoing instrument was signed before me t 4�,n
delay of
262`by h 11y� rwn l 1
who is personally known _or has produced a
as identification.
STAMP
Sig ature of Notary ublic
Print Name of Notary Publi49=0
EN S. NIELSEN Florida -Notary Publicission # GG 207484ommission ExpiresJune 12, 2022
Revised 11/16/2016
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SUB-5CTOR 2uf(,�0],ifier)
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PRINT N ill E
COUNTY CERTIFICATION NUJIBER
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State of Florida, County ofl—A/L/
The foregoing instrument was signed before me this day of
20�\ bywho is personally known _or has produced a V
as identifica
Q Al �ANIP
Signature of Notary Public
Print Name of Notary Public
KAREN S. NIELSEN
State of Florida- �
._ rtotarY Public
r; Commission G 207 i�'p OF F1.OPO�\ '� G 484
MY Commission Expires
June '12, 2022