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PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
O(A S t'P / ?(Of 01
(Company Na a/Individua Name)
the in, 6 -e� Sub -contractor for
(Type of Trade)
have agreed to be
povl -S
(Primary ontractor)
For the project located at 2 Z l ?— S 0 C PA
(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.
A � '
CONT CTOR SIGNATURE (Qualifier)
8� ri
PRI T NAME /
COUNTY -CERTIFICATION NUMBER
State of Florida, County of
The foregoing,instrument was signed before me this%!2day of
zoo 7, by /��;
who is personally known _or has produced a
as identification.
' STAMP
Signature of Notary Public
Name of Notary Public
ComLS
mission F 228285
My Commission Expires
$geternhr 4 J219
A
SUB-CONT OR SIGNATURE
( ua per)
4' r 1 /r
PRINT NAXIE
r�2 3?�6
COUNTY CERTIFICATION NUMBER
State of Florida, County of -1 11F
The foregoing instrument was signed before me this ,/ L day of
20/j , by �G• r o /
who ispersonally known _or has produced a
as identification.
2,� A -Y/� STAMP
Signature of No Public
Print Name of Notary Public
°F",c C B MILLS
Commission #FF 228285
° My Commission Expires
Sentember 4 2019
Revised 11/16/2016
r--
PERMIT #/
ISSUE
Buffding Q& Code Compliance
BUILDING PERI►rTY'
SUB -CONTRACTOR AGREI
NOV 032017
Permitting Department
St. Lucie County, FL
1 CCl7m 1L�C 1l C'�/;'� L t;rP��( JiNto, fide have agreed to be
(Company Name/Individual Name)
the 1E7-LEe IRI CI$ Sub -contractor for CRY S-TA2—-
(Type of Trade) (Primary Contractor)
For the project IoCate d at '7 9' / Z Sy zDa Ate' l)� •,%6.uS ' i � yi FZ_
(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
llin? of a Change of Sub -contractor notice.
AAA-"2
CONTRACTO SIGNATURE (Qualifier)
Nt-ln A4411
PPJN, T NAME
�5Cooc' 307L-q
COUNTY CERTIFICATION NU\4BER
COUNTY CERTIFICATION INLINIBER
State of Florida, County of,J4iL/LtZ
State of Florida, County of
The foregoing instrument was signed before me this day of
Thefo/r%e�g�oing, instromentwas signed before me this dad• of
�
Cb V, 20 / 1 t y
6-02 20LZ by t-r
rho is personally know has produced a
who is personally known or has produced a `
as identification.
as identification.
" jl�•
f ST:�`
/C-/�_
(/� (�3
SignaturcofMoab
�11.�1\1S
`-S�
Signature of - Notary Public \1s11s111v011�y1f1/i/t�/
-.t s Q�er22,�,,491
Dorise C. W91116
Print Name of Notary Public
ry
PrintNamcof?�otaryPublic �� • rye
;#FF048192 � o;
"ro'"' DAMES ROUAN
COMMISSION#GG008627EXPIRES:November4,2020
�n6�dlt3p
1,/Sl
AMY
Bonded Thtu Notary Publmt'rs
Revised l6