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SUB CONTRACTOR AGREEMENT
the PERMIT # ISSUE DATE (Type PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT ��t nf1�12 _lam I�(uA K have agreed to be Sub -contractor for \I Q C t-S'J h Cd fa-*/ . (Primary Contractor) For the project located at 10?Q-r sot.7ft, (Project Street Address Tax ID #) it] 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 i( a-(e 0 3aI COUNTY CERTIFICATION NUMBER State of Florida, County e foregomg instrument was signed before me this i----k-day of J 20Iy pi:�_ who is personally known _or has pro a Print Name of o Notary Public -State of Florida _z�, _• ; : • Commission # FF 234730 My Comm. Expires May 27.2019 Bonded through National Notary Assn. Revised 11/162016 3o3?S COUNTY CERTIFICATION NUMBER State of Florida, County ofLe�_ The foregoing Instrument was signed ,before me this —day of 0C_�l .20j_ by U —Si 4A Q l id w is personally (mown=Or has produced a as ide tiBratian. STAMP R re ofK, /Public " \ lb11Au2 r LJi e'4 Itq `.,d�!4o'- DUNEAUIEM Print Name of Notary Public y t CWAISSION#FF9ffM ,n .p otPIBES:M1y2,202D ��orM1op° fIM111A'flrrtl4lbllltobiyemislr • PERMIT # T ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division SCANNED BUILDING PERMIT St By SUB -CONTRACTOR AGREEMENT �UCie COUI1t/ �)ywcarhavc agreed to be (Company Name/Individual Name) 43Ii�J _ the P v��\ r\ Sub -contractor for 4 eaS� n 'tr' -t Au( (Type of Trade) (Primary Contractor) For the project located at t o%)5 (Project Street S. F:�F915rAf or 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 ChaKe of Sub -contractor notice. SIGNATURE CgL (o cp ©3a'7 S 7\- COUNTY CERTIFICATION rNUMBER COUNTY Lt- CERTIFICA�NUMBER/ G� State of Florida, County of��—�/`�� State of Florida, County of ST, t-�(, 1 47 The foregoing instrument was signed before me this _n day of The fooreg'oiing instrument was as signedbeforeme this �/L day of 3 += : 17-C . 2gL�y J n ��1 / • 9 O I .20_a by J� J L 1) U Q# k who is personally known _or has produce I✓L— who Is personally (mown V or has produced a as identification. ///��,�\ (ass Identification. ' ��/jpp� ,a �j r I STAMP r �" """I �"`' I " `� STAMP Si reofNo ryPu lie Signature of Note Public Me_\cX AfAAI a LE �, AJ6FO9) Print No `aC a M Print Name o Notary Public ANGE724M �; �i•= Notary PubliridaCommissio0 CYLLANGFOMyComm. ExTF37rC0SS1G2015+'a. 12202Bonded throughvyAssn Revised 111.162016_.- �r PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT For the project located at (D't.)5 S. r2FO6 ff—A �( r (Project Street Address or Property Tax I have agreed to be 1 tope-T S%t- Cqcu� , FIG 3Y%5A 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. FAW e�L �a�©3a� COUNTY CERTIFICATION NUMBER COUNTY CEKI IFICATIUN NUMBER State of Florida, County of State of Florida, County of The foregoing instrument was signed before me thisin day of The foregoing instrument was signed before me this Lday of .240y . lbI (�%1Cb_ - I> 017by fLAa a ` QZM G who is personally known _or has produc who is Personalty (mown _or has produced a _ as identification. as identification. 1 G y� STAMP -/ r C UO _ STAMP Treolhc)1rq--\Q- PrintrNo Pu tic Si of Notary Public Nomf arlPb -- Print Name of Notary Public- — io- a s, AWELA M HUFF Notary Public - State of Florida Commission # FF 234730 SHAWNA M. HODOE %AY Comm. Expires Ma NOTARY PUBLIC Ocn4,.dthrouh Y27,20i5F STATE OF FLORIDA Revised 1 UI62016 - - Camr# FF131836 E.>�Iroeell9/3818