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PERMIT# 211 O f D ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
- Building & Code Compliance Division
:_.. BUILDING PERMIT s®
SUB-CONTRACTOR AGREEMENT %�°o����
R Thompson Electric = -.-- have_agreed to be
(Company Name/Individual Name)
the Electrical Sub-contra.cto f�or�� Pri Ka,dill Homeowner d
(Type of Trade) (Pnlnary COtttraCOf)
For the project located at 5991 Clydesdale Ln
(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-c ctor notice. (�(,()
1F �_
CO: TRACTOR SIGNATURE(Qu r) SUBS N CTOR SIGN WU (Qualifier)
Robert Thompson l� G�/1 �L f Robert Thompson
PRUNTr NAME PRINT NAMF.
EC13007306 (j l,� EC13007306
COUNTY CERTIFICATION N ER ��Q o i _ COUNTY CERTIFICATION NUMER
State of Florida,County of$T Cie Zar) State of Florida,County of ST Lucie
The foregoing instrument was si, ed before me this 10 day of 9' G`'� The foregoing instrument was signed before me this 10 day of
January ,202� by bert Thompson` January 1209 . Robert Thompson
who is personally known o as produced a T— who is personally(mown or has produced a
as identification as identification.
i
ST
�natur of Notary Publi t 0. l Q Signature o Notary Public STAMP
Melissa L Butter 1J/d ,/ v� Melissa L Butterfield
Print Name of Notary Publl Print Name of Notary Public
Notary Public
• Melissa L e P C �'o f F FN V o ON* Notary Public State of Flonda
1dY Cvmmi d p 6b M m/s °��da q(JG �: Melissa L Butterfield
vrry Expires 02/1412 Cps'off#^lota�H�ll ti My t;ornmission<BG 30M3 '
CtOb/,9,1. G.2 pUb/; **00rio* ExpireAAAAAAA s 02/14/2023 ,
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Revised 11/16/2016 `�`� �22ires 9Wit