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PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING .PERMIT
SUB -CONTRACTOR AGREEMENT
(Co pan Nan�e/Individual Name)
the ��U/�2 Sub -contractor for
(Type of Trade)
For the project located at
(Project
or
have agreed to be
�
.o �2
(Primary Contractor)
'bj
Tax ID #)
L4 1-
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
,_,C=i�A?R SIGNATURE (Qualifier)
tiv
_ � r e- -C �/. S�Z f
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of 5� IU6�
The foregoing instrument was signed before me this 69F-day of``__cc
who is personally known ✓ or has produced a
as identification.
n �
l3C0 ACTOR SIGN T u er)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of $T6C�re,
The foregoing instrument was signed before me this 1C�lay of
,2011,by �FJf,L\�
who is personally known✓or has produced a
as Identification.
ov?r MADE LA Lk* VFLASCO
Yir: AM U1_1 M DE LUZ VELASCO
Signature of Notary Public MMISSION # GG050399 �S P
Signature of Notary Pi W t * GGOSo�
�. IF EXPIRES November 28, 2020 EXPIRES November 28, 2020
Print Name of Notary .Public Print Name of Notary Public
Revised 11/16/2016
PERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
(Company Name/IndividualName) y
the !.A Sub -contractor for
(Type of Trade)
For the project located at
\� PQS i W
6, �� -391-0 '7
lect Street Address or Property Tax
have agreed to be
yi� z
(Primary Contractor)
9 y
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.
L
CONT TOQIGNAT
Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State oiiiori(ia, County of SLk—u
The foregoing instrument was signed before me this JQ 0-day of
tic :7 20 1 J by MC3at- ZZ5
who is personally known '--�er has produced a
as identification.
' MA DE LA LMM&LASCO
Signature of Notary PublicMY COMMISSION * GG050399
EXPIRES November 28, 2020
Print Name of Notary Public
Revised 11/16/2016
5uu-UUN KACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, Countyof 3lll�_
The foregoing instrument was signed before me this &.day of
d 1 r A, ,Q i 201, by _ �Se �Ui>\2 p �g �w'_N \m� -i�N
who is personally known "-'Or has produced a
as identification.
MA DE
V ''= LA LUJ,)%gSCO
Signature of Notary Public 1 = ; .. MISSION * GG0503N
EXPIRES
, November 28, 2020
_vte- L—ka
Print Name of Notary Public
Z
PERMIT #
814)
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING .PERMIT
SUB -CONTRACTOR AGREEMENT
�L,
(Company Name/Individu ( me)
the �—` I t�" c— Sub -contractor for
Type of Trade)
For the project located at
have agreed to be
C-1 e- \Z, �.
(Primary Contractor)
(Project Street Address or Property Tax ID #)
R
9 7-
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.
CONT CTOR SIGNA URE (Ono lifie
PRINT NAME
COUNTY CERTIFICATION NUMBER'
State of Florida, County ofLOdayof
Theforeegoing instrument was signed before me this
20fF0'r—'h'asQC,.�diQ
who is personally known produced a
as identification.
Signature of Notary Public
Name of Notary Public
MA DE LA LUZ VELD
DIY COMKMIdN N GG(
EXPIRES November 28.
co
7auk[ Un AWAUFOR SIGNATURE (Qualifier)
1 —
Qkxy't:' 3moev
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of �3 � • LJX4_� "t
The foregoing instrument was signed before me this dray —of
BTU kJ , 2011,,� bye�
who is personally known 1/or has produced a
as Identification.
e of Notary Public
SABRINA L. BLACK
Name of Notary Public
0P*lNAI4 /8 %
•G_.nthl�•• C•� i
C�2'I' c� •••
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9� •;�y�naed thN . s � �Q':
Revised 11/16/2016