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PERMIT# �DO� _ 717 ISSUE DATEti
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
RECEIVED
BUILDING PERMIT II
SUB -CONTRACTOR AGREEMENT d OCT 1.4.2020
P@ffdl@ing Department
tt. Lucie Countv
have agreed to be
(Company Name/IndividualName) �/ I
the,t;_e4l"Al 40aKe/pe A5.sv,6all Sub -contractor for 7Jesdu : F4ejllees
_-� ___._(TypeofTrade) 7 (Primary2Contmc[or)
9r�/t/G //��A �s
For the project located at A/ 19!S _—/ 7i 7/e4d e-,
(Project Street Address or Property Tax W #)
I
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 I be advised pursuant to the
filing of a Change of Sub -contractor notice.
CONTRAcc R SIGNATURE (Qualifier) SU ON
cJ IJ S 5h C-C!` �^ �vHW .
PRINT NAME PRINT NAME
COUNTY CERTIFICATION ER
h" t
COUNTY CERTIFICATION NUMBER
State of Florida, County of Iv
State of Florida, County ofM��
T\/�pn�``fon Ding iusirument was signed before me this day of
The foregoing instrument was si m%ll before me this
his 0� day of
=b� 2ahy - 1
/�
i-
DV�1 •.2o bl� kyj �7 C `C�
M
who is personally known _or has produced a I� 6�,
who is personally known V or baseproduced a
as identification.
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d tifeatian. kda
—:,QS ST
! STAMP
Signatureof Notary m
i of o ry ublic ]
h 9{Y
•WaRrKi S. NIELSEN
Print Name of Notary Pub] ;o` Ac'�
_ 04/ 10.stale of Florida -Notary Public
PriotN me of Notnry Public
%I Jo` Commission It GO 207484
`,o1�@`Vo,`,�
., Nly Commission Expires
�•a�0, June 12. 2022
a..tWU' Wynn Allen
Co'MIGG366562
1Am
Revised 11/1612016
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