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PERMIT # 2' l'l 2 "" J �•- ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
nS `= Building & Code Compliance Division
j BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
ua Dimensions Plumbing
R�cENEO
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cie
have agreed to be
(Company NamelIndividual Name)
plumber I i,
t Sub -contractor for Wqr, Q A" 0_b PC —
(Type of Trade) (Primary Contractor)
For the project located at 131\ko (`AUJ F4Vg 1fC-G 1,,,A
{ `i( Project Street Address or Property Tax ID #)
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It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Co& Regulation Division of St. Lucie County will be advised' pursuant to the
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f iling of a Change of Sub -contractor notice.
COUNTY CERTIFICATION NUMBER
State.of Florida, County of
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The foregoing instrument was signed before me this day of
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Who is personally known or has produced a FQ)L, $ 4] IpS3869o1 Zb
STAMP
,�ggYPUg CHRYSTALGOMEZ
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* Commission#GG289550
o Dpires February 24, 2023
Revisedll/16l2016 ��FOFf��Q� I r3011dBdiIlN9lldgetNDlat�1$6NIC86
SUB -CONTRACTOR SIGNATURE (Qualifier)
Robert Ludlum
PRINT NAnIE
18628
COUNTY CERTIFICATION NUMBER
State of Florida, County.of St Lucie
i
The foregoing instrument was signed before me this
day of
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, 20� by 20%1'fi J�
d I LJ i+ r�
who is personally known x or has produced a
as i!den-tlryfi`ccatt�ionn.
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Signature of Notary Public
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N�I CO L-,W__1WWS_
Print Name of Notary Public
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