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PERMIT# 32 C2%6 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
ST
LUC
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
•rd'i rT-/� 9-t c.-rrf%st-�- �B✓'✓. `c�- ��C have agreed to be
(Company Name/Individual Name)
the FC.4 G;.-IC,•,L Sub-contractor for t�ear, Qt�i f�'-•ss'$ ,h4�d�
(Type of Trade) (Primary
Cont actor)
For the project located at '�. 'Z.
(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.
COIF RACTOR SIGNATURE ualifier) SU -CONTRACTOR IGNATURE(Qualifier)
t'7
J ( 7 q r
PRINT NAME PRINT NAME
1.7
NTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
(18,11 of Florida,County of �State of Florida,County of L J C.1�
The rego' g instrument was signed before me this day of The foregoing instrument was signed before me this a day of
,20_y,by Z 0\y 20_�A by 'Q W- c a 4 r '*T ^
w is perso lly known_or has produced a who is personally known_or has produced a L >D
as ide of ation. as identification.
f STAMP STAMP
e of No lic Signature of Notaryk0ablic
Ire
of o ry Public Print Name of Notary Public
F
6�B: DEANNA GIVENSNotary PublicState of Floridallotary R of Fbrida Commission HH 086359Revised 1 l/l6/2016 Alice� comm.Expires Jan 28.2025
MY Co 031 B80 of F„.: MY
Expires Banded through National Notary Assn.