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PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
RECEIVED
BUILDING PERMIT AUG 2 7 2021
SUB -CONTRACTOR AGREEMENT
St. Lucie County
Permitting
� C 1l, t have agreed to beG,.ut`L � [
( ompany Name/Individual Name)
the -/ G fed` CL
(Type of Trade)
For the project located at 0
(Project Street Addr
Sub -contractor fory���'��9045c p C_ S
(Primary Contractor)
.ss or Property Yax 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.
CON RA OR SIGNAT (Qualifier)
10 - k—
PRINT NAME
FC11,Clo -15
COUNTY CERTIFICATION NUMBER
State of Florida, County o t--_(_,�'Q..i
The foregoing instrument was signed befto-re me thiik ` day of
, 20 � (by l �lOii Y— 1 fit. LA I
who is p sonally known _or has produced a ��
or Po Notary Public State of Florida
r° DanyelJones
A< MV Commission GG 352016
Revised 11/16/2016 +?orr`°~ Expires07/04/2023
J-;CN7TQACTOEfSIGNATURE (Qualifier)
i
V-V\ c)frvt.�
PRINT
a5,
COUNTY CERTIFICATION NUMBER
State of Florida, County of L3J_
The foregoing instrument was signed before me this 1, day of
v 5- ,2aLby lYn V3aCf0k,3
,who i ersonally know _or has produced a
Nota'ry Public State of Florida
Danyel Jones
A<1. My Commission GG 352016
is 'loin°° Expires07/04/2023
STAMP