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Sub-Contractor Agreement # 2
PERMIT# ISSUE DATE PLANNING & 'DEVELOPMENT SERVICES Building & Code Compliance Division - p MUM mpany Name/Individual Name) the VD (Type of Trade) BUILDING PERMIT SUB -CONTRACTOR AGREEMENT have agreed to be for Wj, r •-n £. '*b-eyQ.' o m e-M CO• R P (Prim&ry Contractor) p For the project located at �—Q� � � x 1z) (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 SIGNATURE (Qualifier) M&I, e.W RI NAME �- C SSG 3 COUNTY CERTIFICATION NUMBER State of Florida, County of Gir - -161 ' The foregoing instrument was signed before me thixl_( y of who is personally known _or has produced a as identification. ", 0"'. &4�� Signature of Not Public _b,gkax R y ANt) -6 4sea.y Print Name of Notary Public Am.'Ry',N, DOROTHYANN BASKIN M.-MY COMMISSION # GG 030145 EXPIRES' October 2, 2020 •;F•.:..oF• BondedThru.Notary Public UndetWlilers . qOF iN1�, Rev SUB-C CTOR SIG ATURE (Qualifier) obe a-� Lu Al q M kRINT NAME COUNTY CERTIFICATION NUMBER State of Florida, County of —St • LuC-1 e� The foregoing instrument was sign d before met-� d his�ay of 20 ,). ©ipeCl LLX((.La-, who is personally known or has produced a as identification. STAMP .- STAMP Srgnature of Notary Publi "J� riot Name of Notary Public LAFFERTY . �ro`?RYP6Ao� RHONDA MY COMMISSION # SE854297 r �'iOF'FL� EXPIRES January 08, 2017 3�s.0153 FloridallotaryServico.com �,k t �.t;�GnPiI...,•�!!�4JriL`io,�N,ti'7.�..'r.,....i. s. .. 100 m"CT090.0 yle- CIOUN C**o Lu C, — �Jo ' Al :6 ythc�& Plint-NOWUNatarYA" SE Aidld 6 ftip ce viv- MY COMMISSION# r DOROTHY ANN BASKIN -G 030145 EXPIRES: October 2,2020 —X%TP- 8,,dW:Thl t 111fte, I -C To-gat 19 0 .. . ....... id, -Adv e ur a.- a ie muly-will. e;. U d N J)p 01 AM w COON 90MUR s C. --of$ who iipodova# bVil. aauc DOROTHYANN BASKIN MY COMMISSION# GG 030145 EXPIRES: October 2, 2020 -Th -m Bonded.Underwnt