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PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDINGPERMIT
SUB -CONTRACTOR AGREEMENT
9
rfl r _/ have agreed to be
(Company Name/Individual Name)
the De c � o C4 Sub -contractor for �4� �i Gt_ el p.?
(Type of Trade) (Primary Contractor)
For the project located at
(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.
CONTRACTOR SIG (Q er)
PRINT NAME
Ll
COUNTY CERTIFIC TION NUMBER
State of Florida, County of rn a -S_Yl rJ
The foregoing instrument was signed before me this 53E day of
di 20A by V aSiDn
who is personally known or has produced a
as identification.
,; -, 04,L� --
SUB-CONTRACTOR SIGNATURE ( )
S CA nr taAyE>.
PRINT NAME
A' L 1300,� g 6G
COUNTY CERTIFICATION NUMBER
State of Florida, County of ma A,n
The foregoing instrument was signed before me this 2r day of
JLAA2Q� by S-_aO `AQ\AR-S
who is personally known or has p.---� ced a - - c 3_
as identification. U V-QC4S.'�o,('. Sy 3 U S '�k A', 0096
STAMP STAMP
Signature otai blic SSgna�otaryc
S\.tstan PE -_ SAASQr1 F�r. �121�r1?1ke,r�
Print Narne of Notary Public Print Name of Notary Public
//,¢y,,, Susan A TWnewr
=a �= Cmission # GG210695
=�` •" Exp M: 5 /112022
Revised 11/16/2016 %,, " \��`� 901M thfU Aaron N 011121
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