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SUB CONTRACTOR AGREEMENT
the PERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division Name/Individual Name) (Type of Trade) For the project located at BUILDING PERMIT SUB -CONTRACTOR AGREEMENT (Project Street SCANNEDr l �urIBy P County have agreed to be Sub -contractor for fah n GTo �v.�'CCV�/I C �� (Primary Contractor) 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. CONTRACTORS N (Qualifier) as identification. Signature ofNotai Public V C "iah VN R'<'-6Y SUB -CONTRACTOR SIGNATURE (Qualifier) L'� rnn "iscy- PRINT NAME COUNTY CERTIFICATION NUMBER �yCOUNTY CERTIFICATION NUMBER State of Florida, County o[�_r t_ 1.p 1 A,�y� State of Florida, County of f0©I'. The foregoing instrument �was signed before me this �l , day of The foregoing instrument was signed bbeeforel nme t`hiism, l�e d.y�of �, 20Jb, by 1'A'I�«m�_ 1 , 201 by NICY) 1 C. a tuff who is personally knot"Lor has produced a who is personally known or has as identification. STAMP nature of Notarybltc "alfi& Wino r Print Name of tary Public Print Name diyNotary Public produced a o0% Notary Public State of Florida sow °o Notary public State of Fbritla Raleigh Winsor Raleigh Winsor Revised 11/16/2016 p9� . My commission GG 107386 My Commission GG 107386 •Ol h�pQ Expires 0612712021 ?orwo°A Expires 06@72021 STAMP