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M
PERMIT # 1703-0041 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
AC Buddy, Inc.
(Company Name/Individual Name)
the HVAC
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for Grcu P ohe Co nslYy c`h M
(PrimaryContractor)
For the project located at !JUu ej %y T%ef
(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.
i
CONTRACT R SIGNATURE (Qualifier)
M i �-e A/ i r g n of ct--
PRINT NAME
IZSOLAK
COUNTY CERTIFICATION NU `MBE'R W State of Florida, County of (st' Ci e
The foregoing instrument
ttlwas signed before me this —4 day of
I�loyl 1• .291,bylvlike
who is personally knownor has produced a
as identi c 'on.
STAMP
Si�ature of Notary Public
N \L0\_Q_ Eqnson
Print Name of Notary Public
NICOLE ELLENSON /
?°�Y P �`° MY COMMISSION #GG089104
n EXPIRES; APR 02, 2021
OBonded through 1st State Insurance
Revised 11/16/2016
SUB -CONTRACTOR SIGNATURE (Qualifier)
Wanda Gahn
PRINT NAME
30113
COUNTY CERTIFICATION NUMBER
State of Florida, County of St. Lucie
The foregoing instrument was signed before me this day of
, 20_, by
Wanda Gahn
who is personally known X or has produced a N/A
as identi cation.
• Q/l/J v //� STAMP
Si ature of Notary Public
Kristina R. Parsons
Print Name of Notary Public
A a Krishna R. Parsons
Q NOTARY PUBLIC
STATE OF FLORIDA
Comm# 00090836
�� AS Expires 4/23/2021
�J
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
B & N PLUMBING
have agreed to be
(Company Name/Individual Name)
the PLUMBING Sub -contractor :for GROUP ONE CONSTRUCTION AND DEV. INC.
(Type of Trade)
(Primary Contractor)
For the project located at 5001 Pi
(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.
CONI VRAC'I OR SIGNATURE (Qualifier)
M i k- M
PRINT NAME
I as c3 LPgl��'
COUNTY CERTIFICATION NUMBER
State of Florida, County of (a. LC; e
The foregoing instrument was signed before me this ILL day of
N curl, , 20 by i Fe N1 i era r
who is personally knownor has produced a
n
i
as id e ification.
L_si�g
[fire oof`Notary Public
Print Name of Notary Public
t,}tY PV9
r
NICOLE ELLENSON.
h4 COMMISSION #GG089104
-vpi� r . APR 02, 2021
buirjco tr uugh 1st State Insurance
Revised
1./,� 41'�
SUB -CON ACTOR SIGNATURE (Qualifier)
PRINT NAME
)426b S--7-
COUNTY CERTIFICATION NlUMBE.R
State of Florida. County of �I Lud Cp
i
The foregoing \Q r, instrument was signed before m� e�this A day of �� /
0\/, 20_ l- by �� (� IXJ� 1 eaCA0l YL_,1
who is personally known 7V or has produced a
s identification.
STAMP STAMP
Signature of Notary Public
W i 60LA.:I WJ_\Son
o<YP�m NICOLEELLENSO
MY COMOSSIION #GG089104
Rk r EXPIRES: PR 02, 2021
2
L2V Bonded through ��—
1st State Insurance I