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PERMIT # �JV16TP
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
DOUGLAS DANKNER
(Company Name/Individual Name)
the ELECTRICIAN
(Type of Trade)
For the project located at 4380 Indrio Rd. Ft. P
(Project Street Address or
It is understood that, if there is any change of status
project, the Building and Code Regulation Division
filing of a Change of Sub -contractor notice.
CONTRACTOR SIGNATURE (Qualifier)
RAYMOMD MEAD
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of P6AC,'\ CS--._.
The foregoing instrument was signed before me this I day of
zo I , by RAYMOND MEAD
who is personally known �__or has produced a
as identif
Signature of Notary Pr lic
41y.yi,ytC�_(44? z
PrintName Public
Lv;i
Notary Public State of Florida
POLLY ALVAREZ HENANDEZMy Commission GG 125150FOxlp6res 07/17/2021
STAMP
PERMIT
R AGREEMENT
SCANNED
BY
St b1cle Cdufff%/
have agreed to be
for RAYMOND MEAD
(Primary Contractor)
FL 34951
Tax ID #)
our participation with the above mentioned
St. Lucie County will be advised pursuant to the
SUB -CONY TOR SIGNATURE (Qualifier)
DOUGLAS DANKNER
PRINT NAME
E� ►�ao►3dIJ
COUNTY CERTIFICATION NUMBER
State of Florida, County of pra � n 1 � � LVIP,
��
The foregoing instrument was signed before me this Q� " day of
20\1�_, by DOUGLAS DANKNER
who is personally known %� or has produced a
1�r aue
=o G�
a
'yam
Notary Public State of Florida
pOLLY ALVAREZ HENANDEZ
MY Commission W- 125150
Expires 07/17/2021
of cvo�
STAMP