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PERMIT # I I I ISSUE DATE
-' PLANNING & DEVELOPMENT SERVICES
- ' Building & Code Compliance Division
(VF".
L. C:.:, :, a/� BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
lrn t 1C-.h ct q J 3 m 1 Vh have agreed to be
(Company Na e/Individual Natne)
the ELECTRICAL
(Type of
For the project
Sub -contractor for MICHAEL SMITH
(Primary Contractor)
at 6129 CARLTON RD PSL
(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 BuildinE and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change o Sub -contractor notice.
PRINT NAME
COUNTY CERTIFICATIO ^ NUMBER
State of Florida, County of
h foregoing instrumenttjwa signed before
r-me, this 1 day of
20_L6 b Tit Y1f L�
who is personally known or has produced a
as identification. n _
Notary
Nobly Public State of Flotide
NANCY MIMS ARMSTONG
My Commisiion GO 013313
Expires 00/1812023
Revised 1 1 /16/2016 ,Fwv— — — — — - _ _
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this
20_, by
who is personally (mown _or has produced a _
as identification.
Signature of Notary Public
Print Name of Notary Public
day of
STAMP
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
r-
have agreed to be
CConipany Name/Individual Name)
the HVAC Sub -contractor for MICHAEL SMITH
(Type of Trade) (Primary Contractor)
For the project located at 6129 CARLTON RD PSL
(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.
AAA
CONTRACTO11 SIGNAT RE ( ualifier) SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of f
Th regoing instrument was signed before me this I day of
20_Vby l
who is personally known _or has produced a
s fden fication.
i
AMP
Signatu of Notary tic ax-a�6
Public State of Florida
Prin i bt.*KMl6lMlMS AGM 913313
f V My Commission
w
Expim 0911812023
Revised 11/16/2016
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
,20__� by
who is personally known _or has produced a
as identification.
Signature of Notary Public
Print Name of Notary Public
STAMP
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
d a' Building & Code Compliance Division
_ BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
the PLUMBING Sub -contractor for MICHAEL SMITH
(Type of Trade)
For the project located at
(Primary Contractor)
6129 CARLTON RD PSL
(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.
r& A I JA&J
CoWftACTOR SIGNATURE (Qualifier)
nil C-(1'\CAQ-1 Sho[�
PRINT NAME
COUNTY CERTIFICATION NUMBER _
State of Florida, County of
oregoing instrument was sig ed Pefore me this I day of
P
20by
DTwho is personally known _or has produced a
t tlfication.
S P
Signatu c of NotarUP bdc
Public Stateof Fimicia
Print Name tt NGY MIMS ARMSTONG
%CV EExpims 09/1612023 913313
Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this day of
, 20� by
who is personally known _or has produced a
as identification.
Signature of Notary Public
Name of Notary Public
STAMP