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PERMIT ISSUE DATE
MANNING&DEVELOPMENT SYJ��1V.iJL'l�
Budding& +C®de Cokd;p"Haoce Dlykion
., . ._ iSI7"ING PIERM'Yr
SM-1coiVTRA►CTOR AGREEMENT
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tf l ec. 7r c- have agreed to be
j (Co pgny Naine/Individuai Name)
the l e'c-T s',z e. / Sub-contractor for '�r,? -{ 1)e&e— P,?,:reo
(Type of Trade) l (Priln4 Contractor)
For.the project located at
(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 CodeAegulation Division of St.Lucie County will be advised pursuant to the
filing of a Change of Sub-contractor notice.
CONTRACTOR SIGNATURE(Qualifier) O RiACTOR SIGMITf=-(QuaMer)
It CIL CA T".b b-J
PRINT NAME PRINT NAME
�r�
COUNTY CERTIFICATIONNUIVIBER COUNTY CERTIFICATION NUMBER
Smite ofFlorida,County of L0c:.� State of Florida,County of i°2.
The foreggoiing_innsstrumenttwas signed before me this day of The foregoing instrument was signed before me ibis'^ day of
�► y- e :,���� ��v`�•, ;20�',) by 1, AV0'�'e.11`CA
who is personally known�Kor has produced a +;_ N who is personally known-or has produced a
as identification. as identification.
STAMP & STAMP
Signature of Notary Public Signature of Notary Public
PriritName of Notary Public Print Name of Notary Public
t Nota[Y Public S.t�teFiorida 1;."� UCURA R.`CUBBEDGE
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CONUACTOR SIiGNATM(Oiie6Ser)•
l :atGYr>ew Lyle Wynne Sur .•'•_ . :` erman
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DOROTHYANN SAS] IN COMMISSION#GG 030145
"�• �o;? EXPIRES:OctobeF2,2020 MYCOMMISSION#GG1330145
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ST. LUCIJE COUNTY
BUILDING &•ZONING
2300 VIRdINiA AVENUE
FORT PIERCE,F:L 34982-5652
772-462-1553
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'L EVVI ►lT AlI A C
1, the undersigned, am the owner,of the following described property:,`G�
Part of 3414-501'-1701-000/9 ; Section 26, Township 36.s &. Range 40E
(Tax ID/Legal description/Address)
for which 1 have applied to St. Lucie County for a Final Development.Permit. In accepting
l this Final Development Permit, BP Number I acknowledge that as owner of
the above described property, and in accordance.with.Section 7.04.01(D), St.Lucie Codaty
Land Development Code, I shall be responsible for assuring adequate drainage so that the
immediate community WILL NOT be adversely affected. I further acknowledge that in
granting this permit for the development of this property, St.Lucie County is neither obliged
nor liable to provide for, or-maintain in any form, adequate:drainage off my property which
will not adversely affect the immediate community.
II
Matthew- Lyle Wynne
Property Owner Name Property Owner Sigri.ature Date
STAT.H OF FLORMA,COUNTY OF St . LL u'c i e
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ACKNOWLEDGED BEFORE ME THIS� X DA OF 20�.7
By Matthew Lyle .Wynne WT40ISPEPSONAL•LY KNOWN TOMEORWW01.1ASPROD-UCCD
AS rDENTIRCATION.
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qSIGATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SCAL)
NOTARY PUBLTC TITLE COMMYSSiON NUMBER
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NNbtary P.ubHc State of Florida
Julie Ninassi
My Commission GG 038942
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