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PERMIT# 2110-0570 ISSUE DATE 11/24/2021
PLANNING & DEVELOPMENT SERVICES,
•
,i Building & Code Compliance Division
BUILDING PERMIT RECEIVED
SUB-CONTRACTOR AGREEMENT
DEC 19 2021
St.Lucie County
Permitting
Lippard .Construction Inc. Kenneth I. Lippard have agreed to be
(Company Name/Individual Name)
the General Contractor Sub-contractor for New Roof
(Type of Trade) (Primary Contractor)
For the project located at 1812 Wildcat Cove Drive
(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.
O RACTOR SI AT (Qu ) SUB-CONTRACTO IGN lifter)
Kenneth I. Lippard Kenneth I. Lippard
PRINT NAME PRINT NAME
CGC1515384 CGC1515384
COUNTY CERTIFICATION 1ER�/� COUNTY CERTIFICATION ER
State of Florida,County of t—ll.�l� State of Florida,County a The foregoing instrument was signed before me hisc�o day of The foregoing instrument was signed before me this o��rll�day of
20R b 6 A1 by 6
who is personally known or has produced a who is personally known f_or has produced a
as identifica'on. as identification.
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QU
STAMP
Si ignat guature of Notary Public Sure of No ary Public
Print Name of Notary Public Print Name of Notary Public
��a�yP��, KAREN S. NIELSEN
=o'°� B��,State of Florida-Notary Public K A R E N S. N I E L S E N
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_. ■_ Commission,# GG 207484 ?a° �=State of Florida-Notary Public
��'%°i�i�'o\` r;ly Commission
i121 2022pires =* *_ Commission #GG 207484
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Revised ll I junu 12, 2022