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PERMIT # 1 X 1 I ,. / 1 it:7Q 1 ISSUE DATE
COlqTRACTORISIGNATURE.( aGfier) .: CONTRACTOR SIGNATU - Qualifier)
JAMES T. LEONARD JAMES T: LEONARD
PRINT.NAME
PRINT NAME
25959-25959.
COUNTY CERTIFICATION NUMBER - COUNTY CERTIFICATION NUMBER - •
State'of Florida, County of ST.LUCIE State vfFlorida, County -of ST..LUCIE..
The foregoing instrument was signed before me this _ 15 day of The foregoing instrument was signed before.me'this" '15 day of':
MARCH' 20.19, by JAMES T. LEONARD MARCH , 20 19,.by "JAMES T. LEONARD
Who is personally known X or has produced "a who is personally known X. or has'produced-a
as i tification. - as i tification
r &STAMP STAMP .
Signature otary Public _ Sig afore otary Public
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And
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Print Nam o Notary Public Priut Nam. o Notar_Pub lic
. . ....
co�Y Poa ANGELA BORSODI-BIRMINGHAM
,;Sppv a�•.," _ ANGELA-BORSODI-BIRMINGHAM
?° • ��= NotaryPublic - State of Florida ° L
Notary Public State offFlorida'
Cbmmission n G_G 249625 - - "�"<
Revised 11/16/201 id..a Commission GG 249525
of r� .:•: My Comm. Expires Aug:16, 2022 i '"•..?�oF�o�' My Comm; Ex-ire's Aeg 16. 202t'
" Bonded th'rou h National NotaryAssn. a' tiotar. Assr:
Bonded through Natior _ y