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PERMIT# 1106 � � � j
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
61 Md. 9,
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
J.A. TAYLOR ROOFING INC have agreed to be
(Company Name/Individual Name)
_the ROOFING Sub-contractor for MATTHEW J. CALLAHAN
(Type of Trade) (Primary Contractor)
For the project located at 504 E MIDWAY ROAD, FORT PIERCE
(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.
CONT OR SIGNATURE(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
MgVMZ�q,J CAU i ltW KYLE WHITE
PRINT NAME PRINT NAME
23018
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State ofFlorlda,County of State of Florida,County of ST LUCIE
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this 13th day of
2e�C�by�Jrl/ � G4, h MARCH 2020,by KYLE WHITE
who is personally knownr has produced a who is personally(mown XX or has produced a
as identific tion.
' \ s identifica
STAMP STAMP
gn tore o Notary Public Signature of Notary Public
NADINE MANRESA
Prin me of Notary Public Print Name of Notary Public
o1oS+Y P�B�� NADINE MANRESA
' o Commission#GG 355203
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�_ -State of Florida-Notary Public
Revised 11/16/2016 =' •E Commission #GG 183217
'+� o� My Commission Expires
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