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PERMIT# 1708.0026 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT SCANNED
BY
St. Lucie County
The Platinum Group, Inc. / Donald Rohl have agreed to be
the Certified Building Contractor
(Type of Trade)
Sub -contractor for Anton Rochek / Certified Electrical Contractor
(Primary Contractor)
For the project located at 10570 S US Hwy 1, Port St Lucie, FL. 34952 / 341450147133000
(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, l�,�
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CONTRACTOR SIGNATURE (Qualifier) �� S NTRACTOR SIGNATURE (Qualifier)
Anton Rochek
PRINT NAME
EC0001672
COUNTY CERTIFICATION NUMBER
Donald Rohl
PRINT NAME
CBCO21020
COUNTY CERTIFICATION NUMBER
State of Florida, County of S ,U)-- State of Florida, County of ecf Tor
The foregoing instrument was signed before me this L// day of Theforegoing instrument was signed before me this day of
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who is personally known Y_r has produced a who is personally known Pr has produced a
as identification. as identification.
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Signature t6ar ub'c Sigamd. ofNomryP he
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Print Name of Notary Public Print Name of Notary Public
vr,I CHENELE J REEVES ' CHENELE J REEVES
Ban:
• Y MY COMMISSION p FF931409 ? MY COMMISSION # FF931409
EXPIRES October 27.2019 EXPIRES October 27.2019
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PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
PatrickAir, LLC. / Patrick Jaehne have agreed to be
(Company Name/Individual Name)
the Certified Air Conditioning Contractor (mechanical) Sub -contractor for The Platinum Group,lnc. / Anton Rochek
(Type of Trade) (Primary Contractor)
For the project located at 10570 S US Highway 1, Port Saint Lucie - 3414-501-471
or
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.
CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of Nor QUA—
-
SUB -CONTRACTOR SIGNA alifier)
P lf_0_� —�fke�'O
PRINT NAME
C'*C� I<�IiISio
COUNTY CERTIFICATIONNUh'ER
State of Florida, County of li�as
The foregoing instrument was signed before me this.2L day of The foregoing instruments was signed
before me this 10 day of
�1J I J .2Q,by 0/1 Ann 4cAI P� ,20L7,bbyy (�f AAC i-C-L 7SCCA�-
who is personally known � has produced o who is personalty known I or Was produced a
as identification. as identification.
.e 'W Ag CHEN��EppLMMEpp J REEVES STAMP
Y COR�RNION # FF
Signature of No Public t re of Notary Public
EXPIRES October
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Print Name of Notary Public Prut Name of Notary Public
Revised 111162016
CHENELE J REEVES
MV COMMISSION # FF931�OB
EXPIRES October 27, 2019
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