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�Er�MiT# 2 Q6-C�224 -
fSSUE (]ATE
& DEVELOPML -I ' J PLANNING DEVELOPMENTSERVICES
Building & Code Compliance Diir'isiora
BUIL,r)1`G 11FAI.Igl'1'
SUB -CONTRACTOR AGi2F ENjFN'T
_
(Co;npally NatncFlndividtlal N .11 l — — --- —"�— have agreed to be
the tldi�_C11J41i3�1� C4
(TyPe 01"Fracie)
7-""'.-_ ...� ___ , lEb-col► ractor for Hanna Design Group Inc.
(Pri(nary Contractor)—
1,or (lie project located Flt 4892 N Kings Hwy, Ft Pierce, FL tax id# 131323200010004
(PF'c)ItiCE Street Address or Prai>erty Tax fI) m) _ """`�—"-- -- —_.
It is llilderstoo(i tililt. i l'there is any change of StatllS regarding OUr I)articipatioit witll the abOvc mentioned
prajecl, the Building and Code RCgulation Division of St
filing of a Change of Sub -contractor notice.
t-.l) R 7IH SiC\A7'l'Rl: [Qvalilier)
Jason Mick
MINT
32472
--.�_ �.
t-(7UN"I'yC'4:1i77r•I<';l'('ff11\t�,\1REilt
S(;F(f far IIIi1H11\, ('vunh' nr Dupage
The rare-ii,k inxir„in ni was ci�urri (rcfnr'f' ilte [hie 7th day or
July ___ _, zu� 1,�• Jason Mick -
whn is perivnalit known yr has prodF,ee,l a
as idcirtitica[inn,
�1111.
51Pna(urc 01'\uFor1' Public
— STAMP
Teresa DeJong
i'rinl \ante Or N,W-le r I'nt,lic
nAF_AA;£bX
>�LMry P.9[ SSAIftlUF'�l
[LAB'+,YLVIRiRo1!Q
4ovlscd 11,16,11116
Lucic County will br advised pursuant to the
IF
S17i3-C()N3'R,%CTOR Slc1-tTuRE (t ualitler)
_merit I"H�A �u
-3I.14
<'Ml-NTY CF,k'{'il•'IC',1'r{p1`.'+1',\iftF;It
Virginia
S(v(ent'GIwWi,(.'ounlya Richmond iC y
'I ha rU1'Y(r„Oillh [IFl11911nelli R",i5 SiI;1FC(I herprC n1C this 1 +Jt3 I ctof
July i121,1,Y Timothy Makarius;n_
w'hv is Person:tii} kufrn,i US Driver's License
_or h:Fx prnelfircd a �µ _
is idenrificadoa.
Ik (fin R 'p,e i —Mu,,rq y.
=�41, LECTr UNICOpp',g".
SIId1btAY 7
Pntltic
AEG 17825802
Brittany Shawntey Goodman '°d E%PiAES ' a`
x
PrinE iYanu' M \nlury Public %��' 7/711Z[t23 O�c
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7/15/2021. 9.23 AM