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PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
STACY BRANSCOMB have agreed to be
(Company Name/Individual Name)
the PLUMBING Sub -contractor for A & G CONCRETE POOLS INC.
(Type of Trade) (Primary Contractor)
For the project located at 725 W COKER ROAD, FORT PIERCE, FL
(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.
CONTRACT &(Qualifier) SUOtUNTRACTOR SIGN URE (Qualifier)
JAMES T. LEONARD
PRINT NAME
25959
COUNTY CERTIFICATION NUMBER
State of Florida, County of ST.LUCIE
Iffie foregoing instrument was signed before me this l 0 day of
20�1 by JAMES T. LEONARD
is1personally known __I_or has produced a
of
FARA D. HERNAND
Print Name of Notary Public
Revised 11/16/2016
STAMP
D HERNANDEZ
(MISSION #FF172419
S October 28. 2018
JAMES T. LEONARD
PRINT NAME
25959
COUNTY CERTIFICATION NUMBER
State of Florida, County of ST. LUCIE
e foregoing instrumentwassigned before me this 15 day of
24�r9by JAMES T. LEONARD
who j; personally known I/ pr has produced a
as.
STAMP
of Notary
FARA D. HERNANDEZ A A D HERNANDEZ
int Name of Notary Public _ MY C MISSION #FF172419
y Y�y Oi
'Foi�oP EXPIRE October28,2018
(ao7) 398-0i Florida otaryservice.com
01T #' ISSUE DATE
.PLANNING &. DEVELOPMENT
_j
Building
.SERVICES
& Code Compliance:Division
BUILDING PERMIT
Wi x MR FEW SUB.CONTRACTORAGREEMENT
STACY BRANSCOMB
have agreed to be.
(Company Namellndividual Name)
the ELECTRICAL
Sub -contractor for A&G CONCRETE POOLS'
:(Type of Trade)
(Primary Contractor)
For the project located. at .725 W COKER ROAD, FORT PIERCE, FL .
(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 Sul -contractor notice.
CONTRACT (QualiPcer)
NTRACTORSI AT natiGer
RINT NAME.
PR1NP NAME
COUNTY CERTIFICATION DPVER c -
COUNTY CERTIFICATION NUrVIVER
State of -Florida, County of
T f aoginstrumentwassaned6eforeme day
State ofFlorida, County oi���
Th regaS instrument Sig foreme s yor
�or
Who' efaOnon . known or has produced
who' onatzy n produced a -
as 1 en- rca
as, en ' eodo
• STAMP STAMP
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ti= FARA D HERN D►"
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=• MY COMMISSION.#FFt.
28, 2018
_. •_ My COMMISSION #FF1 2419
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EXPIRES October
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