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PERMIT# 1901 —0297 ISSUE DATE
COUNTY
L O R I D A
Sunrise City CHDO Inc.
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name)
the Plumbing Sub -contractor for Cavalier Plumbing
(Type of Trade)
(Primary Contractor)
For the project located at 8643 US Hwy 1, Port St Lucie 3414-501-1912-500/6
(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"o Cj�
CONTRACTOR SI NATURE (Qualifier)
Roderick Waller
PRINT NAME
CGC1515114
COUNTY CERTIFICATION NUMBER
State of Florida, County of St Lucie
The foregoing instrument was signed before me this 15 day of
July 20 19 by Roderick Waller
who is personally known nor has produced a
as identification.
/A.1 --
Signature of Notary Public
Sophia Harris
Print Name of Notary Public
Nobry Public State of Florida
W
�
Sophia Harris
My cornmigew GG 238873
w Expires 05r=020
Revised 11/16/2016
STAMP
(Qualifier)
Eric Foster
PRINT NAME
CFC1426743
COUNTY CERTIFICATION NUMBER
State of Florida, County of St Lucie
The foregoing instrument was signed before me this 15th day of
July 2019 by Eric Foster
who is personally known ✓nor has produced a
as .identification.
'Len�/A- STAMP
Signature of Notary Public
Sophia Harris
Print Name of Notary Public
�'�,
E
�ry Public Stetl q p
phiHarris kxlde
n
Expires 0y�020 238873
0
0
PERMIT# 1901-0297 ISSUE DATE
P"remp 0'k'
COUNTY
F L O R L D A
Sunrise City CHDO Inc.
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
(Company Name/Individual Name)
the Electric Sub -contractor for Stony Electrical Contractor LLC
(Type of Trade) (Primary Contractor)
For the project located at 8643 US Hwy 1, Port St Lucie 3414-501-1912-500/6
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.
�" A WA04^'
CONTRACTOR JIGNATURE (Qualifier)
Roderick Waller
PRINT NAME
CGC1515114
COUNTY CERTIFICATION NUMBER
State of Florida, County of St Lucie
The foregoing instrument was signed before me this 15 day of
July 20 19 by Roderick Waller
who is personally known ✓Zor has produced a
as identification. /Abt- STAMP
Signature orNotary Public
Sophia Harris
Print Name of Notary Public
Nalary Public Stela d Florft
Sophia Haft
Mw�MY f,orraniaalon GG 230a73
ExpiresOVM2020
Revised 11/16/2016
al, � A a 0 /1 . /z,., 4
SUB -CONTRACTORS NAT IRE (Qualifier)
Gerard Thelusca
PRINT NAME
EC13006942
COUNTY CERTIFICATION NUMBER
State of Florida, County of St Lucie
The foregoing instrument was signed before me this 15 day of
July ,20 is by Gerard Thelusca
who is personally known ✓�or has produced a
as identification.
Signature of Notary Public
Sophia Harris
Pri u i i, r a it
a Notary Public S1a0a of F rwa
Sophia Harris
My Commi" on GG 238873
?
? - 6 Exp ras 05r-W2020
MM1
STAMP