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PERMIT# — ISSUE DATE
PLANNING & DEVELO *MNT SERVICES
Building & Code Compliance Division
BU LDING PERMIT
SUB -CONTRACTOR AGREEMENT
5 01,; &L/ L / eC. %'r c - have agreed to be
(Co pany Name/Individual Name)
the `/ec-rs, z /
Sub -contractor for (A�) � A.,? -e ,Dec, e— /eltt ew../ �c ,/1
(Typo of Trade) * 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 W ll'be advised pursuant to the
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualifier)
PRINT N
COUNTY CERTIFICATIONNUMBER
State of Florida, County of
The foregoing instrument was__signed before me this A I y of
20\1 11
who is personally known _�/__or has produced a
as idenfiHcation.
.Pi( �liti E d� STAMP
Signature of Notary Public
I/,- J? �!,e,I E_, 6 > IGA
PriutName of Notary Public
O .. RACTORSIGNATURE•(Qualifier)
.2c1 G,/,^ -r.-) c.. - L/ S 71-, 6
PRIMP NAME
COUNTY CERTIFICATION NUMBER
State of Florida, Co
Only ofsL,%-,,L•i'e.
The foregoing instrument was signed before me tbis�! d y of
: 204 by
who is personally hngwn —or has produced a
as identification.
STAMP
Signature ofNo�,yP"ub�lic���
Print Name of Notary Public
�crr NotawFuo!lp ta/a.af;Fbdda ,1,', ;,,I,pURq.R-Wb
OM SIA 8, SEDGE
My Commisaiail FF 978 3 =*' P?mmissiotw# GG 022076
Revised 11/10016 po'� Expires 05t25fZ020 •, oN ....Bondedilw Tmy Fa�nl2titrr2ncOa�e 3W70f9
PERMIT* ISSUE DATE
�� I"�,Al�l'�Yl�T�• & D���,+DP'1VIENT'SE�V�CES
�i[i d�f tg & �C de CompiY >a�ee Dlvfsfa►rt
SM-6RnU 3`aI AGAMO,NT
Coll fort Co.ptral -of St. Lucie -County, Inc.. have agreed- to be
{Cotiipan�• Nsmeliniliviiitial Nye} .
the HVAC Sub-coi factor -for WYrmne .D.e:velonment Cora .
(Type oftmde) 0iai&7 C0nVaator)
For the t roiect located at �1 ` ` �� -!7\ �f' 4h
It is un& rstood :tha4 if there is any change'Of status:• regading our pai dbipation with the above mentioned
project; the Dufld rig and Code Reg latioh DivisiOn of St. Lucie County will be advised pursuant. tp the
filing of Id Change -of Sub-conkactormotice.
. curr�ria�►cro>� s><cNaT�; (QueGser).
,Za.,tthaw Life Wynne
PRAT NA14iE
COTJi+ITY CERTMCATION 90M E
State ofl loriea, County df 5± . a, F ����
The for*fagIastru i6twa dEheAheforemeth &_62yof 1
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who is personellly. known k"'.r hirs pitiiohtceri a
as feehtifiaalion
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MYCOMMISSION#GG030145
EXPIRES, Octabel2,:020.
Sgnded Thtu Notery PubltC Uadetwiitets
Revis4 11/1-2016
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State of Florid$; Conaty of s� eci , �a
Thefore' me thkVt-�'tlZ\ay of�ue
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who ie• pars*=HY lmdwn ✓r has prodVCe;1s
asideritiPcation. :
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FlintName of Notay Public
�qi " DOROTHYANN BASKIN
*_. MYCOMMI$SION:#GG030145 • .
o� EXPIRES. October 2,2020
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PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
p ompany Name/Individual Name)
the- OWMbiylvA
(Type of Trade)
For the project located at
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
i-contractor for ryin' C'.- �`2 Y 2 O iYl 2 l ,0 R
(Prim ry Contractor)
(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)
WL
)u NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 917 - LU Gt F'
The foregoing instrument was signed before me this�� d y of
who is personally known or has produced a
as identification.
t'/•t<l�" a. &41 -,
Signature of Nota Public
_bm.ka Hy lAlyo .6I s-A,-, �
Print Name of Notary Public
DOROTHY ANN RASKIN
MY COMMISSION # GG 030145
�r EXPIRES: October 2, 2020
Bonded'Thru,Notary Public UoderWtiiers
Rev
SUB_ C CTOR SIG ATURE' (Qualifier)
Lu Al g M
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of �liC212__
The foregoing instrument was sign d before me thisw day of
who is personally known _or hag produced a
as identification.
STAMP STAMP
Signature of Notary Publi
c • C. .
riot Name of Notary Public
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My COMMISSION # EE854297 e
EXPIRES January 08, L017
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The foregoin�rnstKnm"�n�t.�rasigne;ticrroxe-methis _ day of
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DOROTHY ANN BASKIN
MY COMMISSION4 GG 030145
EXPIRES: October 2,2020
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DOROTHYANN BASKIN
My COMMISSION # GG 030145
EXPIRES: October 2, 2D20
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