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PERMIT # ISSUE DATE
COUNTY
FLO R IDA-4411,
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
f_�R
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
1(2-, ij
(Company Name/Individual Name)
the 1 I er_� i e__ Sub -contractor for
(Type of Trade)
0 C T 0 7 20Z'I
ST. Lucie County, Permitting
(Primary Contractor)
have agreed to be
For the project located at I5 ,09 S,14 w qt4 Alva DQ , 9� . I i FaCC F-, 4
(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
a
TURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NU,
State of Florida, County of
T Ike for oing instrument was signed
�before
vme this yday of
y
20ZL by t \ "Q�-
who is personally known _or has produced a `x
as identification.
STA1%IP
Signature o otary Pu is
notice.
Print Name of Notary Public
`�{PAY IPV6�� KAREN S. NIELSEN
State of Florida -Notary Pub'i
•_ Commission # GG 207484
My Commission Expires
Jun- 12, 2022
Revised 11116/2016 _ _ _
Qlt�'"Z
SUB -CONTRACTOR SIGNATURE (Qualifier)
P ,:NT NAD E
V.c can I �L `�_(
COUNTY CERTIFICATION NUMBER
State of Florida, County ofl � 1
TI a foregoing instrument was signed before me this 1 b day of
20_U by '-Y��edkO—V\— —CW8Ck,y
who is personally known _or has produced a let— t�;A&,(S 1C_a�
as identification.
STAMP
SigdatuOe of Nota ` Public
Prinl NaMe of Notary Public
Notar/ Public State of Florida
o�`V • P.ngela Staples G 235102
CommissiGon
ErPifes 0710412022
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT ENT SERVICES
Building & Code Comp➢ ance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEME ENT
R e
I
OCT 0 7 2021
ST. Lucie County, Permittin ST_ g
d►U`e-l5 1 Lcm b ly-CA rdnc, • have agreed to be
(C7dyn-Imm
Namc&dividual Name)the Sub -contractor for
(Type of Trade) (Primary Contractor)
For the project located at "6 4JL) 'I 7Z) . ' U1 IWW I T.JLAJ�
(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
fili f a C an of St -contractor notice.
t
CO TOR SIG ATURE ( ualirter)
PRINT NAME
W 1
COUNTY CERTIFICATION NtMBER _
State of Florida, County of
T ore 'ng instrumentwas signed before me this qc daof
Tm�ug
who is personally knovvn or has produced a
as identi6 tion.
1 STAW
Signature of otary Public
Print Name of Notary Public
LRACITtOR_SIGNATURE (Qualifier)
Da
Vl tau Sam,
PRINT NAME
O� 1
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this A day of
,2OC4 by V t d Pt1tSnCxflc n r
who is personally known -�y or has produced a
as identifin - 'on. La^;6- S-r kmp
ignature of Notary Public
A. DOPEEN LAR#WCW
Print Name of Not Now? Public
= State of Florida
.s 0 Comm# HH031595
Expires 12/8/2024
KAREN S. NIELSEN
State of Florida -(Votary Public
=* *_ Commission # GG 207484
Revised 11/iG2016 ';'FOFFo My commission Expires
'nn,,,�'•., June 12, 2022