HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENTr
11 PERMIT# I� I I V I5�_ ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
First Air Airconditioning Cc Inc
(Company Name/individual Name)
the Mechanical
(Type of Trade)
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
SCANNED
BY
St. Lucie County
have agreed to be
Sub -contractor for Anderson Moore Construction
(Primary Contractor)
For the project located at 8401 Commerce Centre DR
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.
ft'k �
CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME
-A0 L6
COUNTY CERTIFICATION NUMBERtn(�,p (' /yt
State of Florida, County of a(,! l Beac' `
The foregoing instrument was signed before me this I day of
Y20• by {7SIU ,S
who is personally known or has produced a s
Ze'_
S C RACT R SIGN T (Qualifier)
��S$9
COL CERTIFICATION NUMBER
State of Florida, County off&L,& KA64
The foregoing instrument was signed before me this s_ day of
F— 6&_V4J -Y .20U by _& 6LAkCJg R
who is personally knownrv_or has produced a
as identification.
STAMP
lure of Nom bm
��fFDrc
Print Name of Notary Public
Thomaz Nadeau
NOTARY PUBLIC
& -.STATE OF FLORIDA
Comn-6 GG256042
01 ° Expires 9/6/2022
r
[717MIT411
I [ A I I .- 01 �!_ ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Triple K Plumbing of the Treasure Coast, Inc./Kenneth Y. Krueger
agreed to be
(Company NameAndividual Name)
the Plumbing Sub -contractor for Anderson -Moore Construction Corp
(Type of Trade) (Primary Contractor)
For the project located at 49gol Commel-ce Cer-rfre_ J /y. Por4 S Lucr'6
Street Address or Property Tax ID t7
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.
ow
CONTRACTOR SIGNATURE (Qualifier)
C�1�is-�ph�►- ct}uv��s
PRINT NAME /
,�,Roq�)?
COUNTY CERTIFICATION NUMBER
state of Florida, County of Pair" �euch
The foregoing Instrument w
••IBC, (r34f ° .28
who is personally ki owov
orNotary
Revised 11/162016
before me this] I day of
STAMP
HEATHER M. MARSHALL
Notary Public - Slate of Florida
Commission s FF 989187
o;
%:;; o<<.o".•``
My Comm. Expires May 4. 2020
S O •FRS GN (Qualifier)
Kenneth Y. Krueger
PRINT NAME
CFC035728
COUNTY CERTIFICATION NUMBER
State of Florida, County of St. Lucie
The foregoing instrument was signed before me this 29th day of
January 20ogby Kenneth Y. Krueger
who is personally known�Lor has produced a
as identification.
&Ju� STAMP
Signature of Notary Public
/'[Ill•(.'u e, R.i GSisY tpti'Af .; ARLENERIGSBY
Print Name of Notary PubliJune: COMMISSION # GG OB5358
;:;,••• ;i}� EXPIRES: 13,2021
''•fyr fit;.+ BUdedfitu Not9ry Public lhidera7fets
V 0
PERMIT# I (� D 02— ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Design Electrical Construction, Inc
have agreed to be
(Company Name/Individual Name)
the Electrical Sub -contractor for Anderson -Moore Construction, Corp
(Type of Trade)
For the project located at
(Primary Contractor)
Port St Lucie, FL 34986
(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.
`r A e,s.tr�l
CONTRACTOR SIGNATURE (Qualifier) SUB -CONTRACTOR SIGNATURE (Qu Mier)
O 5 hnhti- 0, {�GJ Bruce Livergood
PRINT NAME I PRINT NAME
2-g045 9316911
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida, County of Palen b-cad, State of Florida, County of Palm Beach
The foregoing instrument was signed before me this Z f day of
�n ` her LHr>
RA.I2(
AID • 2Q0 by
who is personally known _or has produced a
STAMP
M,EN
ER M. MARSHAL:blic - State of Floridasion
# FF 989187.
Expires May 4, 2020
Revised 11/16/2016
The foregoing instrument was signed before me this 22nd day of
Jan 20_, by Bruce Livergood
who is?
sppersonally knowrcor has produced a
a al iication.
\L, (il.•_g; STAMP
signature of Notary PuU is
Sharon Edell 4e'p'% SHARON EDELL
Print Name of Notary Name of Notary PubliC�����SSIGN e GGI69986
��„ / EXPIRES: November 14, 2021
as
PERMIT # I I (� ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
J.A. TAYLOR ROOFING INC have agreed to be
(Company Name/Individual Name)
the ROOFING Sub -contractor for ANDERSON-MOORE CONSTRUCTION
(Type of Trade) (Primary Contractor)
Forthe project located at54'01 ConNywirr:e Cenkr T)k PORT ST LUCIE
(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.
NP
CONTRACTOR SIGNATURE (Qualifier)
N/)op i,eK e f-I am
PRINT NAME
2q oL5
COUNTY CERTIFICATION
% NUMBER1('�
State of Florida, County of a(.L Pea C' ` �
The foregoing instrument was signed before me thiis`/
p daay of (�
,1&104
20�:�ar
I, S il.r I I VU r t�
who is personally known has produced a
SUB -CONTRACTOR SIGNATURE (Qualifier)
KYLE WHITE
PRINT NAME
23018
COUNTY CERTIFICATION NUMBER
State of Florida, County of ST LUCIE
The foregoing instrument was signed before me this 23rd day of
JANUARY .2o20.by KYLE WHITE
who is personally (mown XX or has produced a
as identification.
STAMP ��STAMP
Signature of Notary Public
Public '
WEB
HER M. MARSHALLublic -Stale of Floridaission
# FF 989187.
Expires May 4, 2020
Revised 11/162016
NADINE
NADINE MANRESA
Print Name of Notary Public 1tllY PbB
NADINE MANRESA
w
Commisslon#GG355203
Expi
BBonClociThni Boudtiftylienkes
0
PERMIT # IQ I I — 015
1 2— 1 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
A-1 Roof Trusses
(Company NamoiIndividual Name)
the Wood Trusses
(Type of Trade)
For the project located at 8 0 I (oll
(Project Street
BUILDING PERMIT
SU 1 FGREEMENT
have agreed to be
er
ictor for Anderson -Moore
(Primary Contractor)
( erfte Dr, , Por-f sy� L&C I,
or Property
IF)
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 amlwie
ro notice.
CO.NT•RACTOR SIGNA URE naliBer)
aw-Ippher
I RINT NAME 1.-
�zqoLr?
COUNTY CERTIFICATIO�NN NUMBER `In
State of Florida, County of T Q Q. l,/' )
The foregoing instrument was signed before me thisl of
�arT 2� by !dm:eda
lmmsn orhapr
STAMP
HEATHER M. MARSHALL
Notary Public - State of Florida
Commission # FF 989187
My Comm. Expires May 4. 2020
!;Q 'ATU (Qualifier)
Jan Beck-EVP & CFO
PRINT NAME
COONTY CERTIFICATION NUMBER
State of Florida, Countyof E. LILIc
The foregoing instrumenttsas signed before me this 20 dny of
ho is�own.,�or spredaceda_IS��
„'°o 0,PAIGE PEELE
gee ;State of Florida -Notary Public
Commission 0 GG 266219
4 .�� My Commission Expires
ME', October 14, 2022
STAMP
4
Ll
PERMIT# 1 I I o' 52 ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Montierre Interiors, LLC have agreed to be
(Company Name/Individual Name)
the Drywall/Frame Sub -contractor for Anderson -Moore Construction Corp
(Type of Trade) (Primary Contractor)
For the project located at 8401
Port St Lucie, FL 34986
Address or Property Tax Ill #)
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.
CONTRAov��=
CTOR SIGNA2IJR ier)
�h��s�bher at!S->
PRINTNAME
/ 9o4�5
COUNTY CERTIFICATION NUMBER ,,o/';
State of Florida, County of l_ ctcl,
The
/foregoing instrument was signed before e this-Addlay 0�"
who is personally known _or ba�prodpced a
STAMP r
oa>�`' °�o��.•
HEATHER M. MARSHALL
_'�:°`
Notary Public - State of Florida
,.=
Commission # FF 989187
p:
'•.,;
My Comm. Expires May 4, 2020
QiF,o„�
Revised 11/16/2016
PRINT NAME
COUNTY CERTIFICATION NUMBER
State of Florida, County of / r
The foregoing instrument
was signed before me this day off
�T• L , 20 �K by �lY%I� ��i�7rU�
who is personally known 1.1l_or has produced a
VK
' STAMP
Ej,pW,Nr Notary Public State M FloridaJoseph A Ritz My Commission GG 257130 Expires 08/102022
4 0
PERMIT# I f I O I62— ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Tommy Hawkins & Sons, Inc. have agreed to be
(Company Name/Individual Name)
the Site work Sub -contractor for Anderson -Moore Construction Corp.
(Type of Trade) _ (Primary Contractor)
For the project located at 6iui Nrtkr J)Y Port St Lucie, FI 34987
(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.
�5VBCONTRAC� (Qualifier)
Ronald Buchmeyer
PRINT NAME
CGC1508181
COUNTY CERTIFICATION NUMBER
State of Florida, County of St Lucie
The foregoing instrument was signed before me this 22 day of
January 20. by Ronald Buchmeyer
who is personally knowr s? or has produced a
as
HEATH
Public I ml . • my Commission Expires
11I11''•�2oen ^.`� August 28, 2020
Revised 11/16/2016
R1&7
' CONTRACTOR STGNATURE (Qualifier)
mV1'S-f VRhf'V 0 �5
PRINT NAME
2_g045
COUNTY CERTIFICATION NUMBER /y /��
State of Florida, County of b.0d-)t7
The foregoing instrument was signed before me this f I day of
nAY1 AYI�•2u�26hy��V1S i'lVii IS
who is personally known V or has prydaee a
as
Signature of Notary Public
STAMP
QiY P�a�h,
HEATHER M. MARSHALL
Notary Public - State of Florida
r: : YF
Commission M FF 989187
ee,��o�
My Comm. Expires May 4, 2020
0
PERMIT# I is 8 - DI 6�2'
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT SC
SUB -CONTRACTOR AGREEMENT sf q
�o
%,
L
Welch Plastering, Inc. have agreed to be
(Company Nameftndividual Name)
the Stucco
(Type of Trade)
For the project located at
Sub -contractor for Anderson -Moore Construction Corp
(Primary Contractor)
Port St. Lucie, FI
(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.
CONTRACTOR Sl� uaBBer)
ChM- RheY C 1�iGt4MS
PRINT NAME r
�01 O t 1 `5,
COUNTY CERTIFICATION NUMBER f^
State of Florida, County af��Yi �6Lo 1
The foregoing instrument was signed before me this day of
Ja�.2 br_�,�1Vi(ZbAPy�y
who is personally known for has produccon
mkp�
STAMP
Signature of Notary ltblie
+h eak6e'i' m ko l lko d l
Print Name of Notary Public
M
V'Llo HEATHER M. MARSHAU
Notary Public -State of Florida
,Commission # FF 989187
••;; of «•' My Comm. Ex ues May 4. 2020
Revised I1/16/2016 P Y
SUr COMRACIORS(Quallaer)
James D. Welch, Jr.
PRINT NAME
9768
COUNTY CERTIFICATION NUMBER
State of Florida, County of Palm Beach
The foregoing instrument was signed before me this 28rd day of
January 2QL6by James D. Welch, Jr
who Is personally known Zar ties produced a
as Identification.
STAMP
Sign of NlPublic
Judy C. Huntley
Print Name of Notary Public
pp��,,�� JUbY C kbNREY
prp Noury 7u61k • Sute E FlaH22
Ccmmtsnon s Gd 1852211
m MY Camm E.Pir relay 4.22
22
b22
9andzd llvag
0 0
PERMIT# I/ q I —0 rl52, ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
Southern Foam Insulation, Inc.
(Company Name/individual Name)
the Insulation Contractors
(Type of Trade)
For the project located at
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
Sub -contractor for Anderson Moore Construction Corp.
(Primary Contractor)
(Project Street Address or
Port St Lucie, FL 34986
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�
CONTRACTOR SIGNATURE (Qualifier)
(ObviS hek
NT NAME
Z-1 C) 45
COUNTY CERTIFICATION NUMBER t�
State of Florida, County of YOiIDO jii�Y 1
The foregoing instrument was signed before me this I day of
Sotnua ,zB�Qby �.h�isi-aoher(! ti�i�y�'s
who is personally known _or has produced a
n
SUB -CONTRACTOR SIGNATURE (Qualifier)
Michael Brown
PRINT NAME
PSL `14075 State of FL CBC1258182
COUNTY CERTIFICATION NUMBER
State of Florida, County of Orange
The foregoing instrument was signed before me. this 22 day of
January 20_ by Michael Brown
who is personally known �r has produced a
as identification.
STAMP STAMP
Signature of Notary
Glenda F Hobdy
tP�Y PVB •�i
HEATHER M. MARSHAL:
Notary Public - Slate of Florida
Commission # FF 989187
PC
'•+
My Comm. Expires May 4, 2020
of F.qo•
Revised 11/162016
Print Name of Notary Public
_o�yre ..,. GLENDA FAYE HOBDY
Notary Public - State of Florida
i� Commission : GG 341544
•..pr F`, My Ceram. Expires Aug 9, 2023
Bonded through National Notary Assn.
N-
00
PERMIT# 19 1 ( _ 0 (62, ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Bonded Lightning Protection Systems, Inc
(Company Name/Individual Name)
the Lightning Protection System
(Type of Trade)
For the project located at
Street
have agreed to be
Sub -contractor for Anderson -Moore Construction Corp
(Primary Contractor)
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.
tV
CONTRACTOR -SIGNATURE (Qualifier)
r,llyiS-9bft eawi5
P N�1 T NAME 1
�_q 0+
COUNTY CERTIFICATION NUMBER
State of Florida, County of Qp I I t I %)L.-6LCk•7
The foregoing instrument was signed before me this ` day of
202_Q �has
\5
who is personally known orduceda
SUB -CONTRACTOR SIGNATURE (Qualifier)
Patrick Dillon
PRINT NAME
U-18244
COUNTY CERTIFICATION NUMBER r.' -
State of Florida, County of� Y c
The foregoing instrument was signed before
be1fore me I'thisZ_2 day of
JghldlA�t f � 202U, by 1 Q.�t�1 C1L'bt 1(by1
who is personally known _)Lor has produced a
as identification. - I
STAMP �� ` !V
Signature of Notary Public
Print Name of Notary Public
HE=MARSHALLALNotarFlorida' Co9187r/.,CHRISTI NOEL BARTELME
'z°t �q�'Notary Public - State of Florida
My Co4, 2020 �;r Commission N GG 320026
Revised 11/162016 """651 My Comm. Expires May 1, 2023
o-
or N,
Bonded through National Notary Assn.
STAMP
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
oo� La'^ � S_I r �ir 2
(Company Name/Individual Name)
the S f f e�i or S Sub -contractor for
(Type of Trade)`
For the project located at
(Primary
have agreed to be
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. Li
filing of a Change of Sub -contractor notice.
CONTRACTOR NA)
0,hh*VbfX 0, tI�S
PKINT NAME
oL6
COUNTY CERTIFICATION /�
NUMBER
��
State of Florida, County of vl V, [%lam CA Ch
The
yforegoing instrument wag signed before me this day
of
(�/� C
Ulu 20 oby � � et li l 1 " h'S
who is persona Iy known\ -/—Or has produced a
STAMP
�c, HEATHER M. MARSHAL", Notary Public -State of Florida
Commission # FF 989187
oL��"•' My Comm. Expires May 4, 2020
Revised 11/162
COUNTY CERTIFICATION NUMBER
State of likiridat County of a '
The foregoing instrument was signed before me this ZZ day of
4 U ,202o by_Viri
who is personally known or has
7ZOZ/6L/4 saildx3 uolsslwwop 6W
£b99ZZZ'0N uOleslww0p
0lignd ,Ge11N
/iastar MaN )o a1e19
sd.1 uelde)q Liu, p1eNl
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Advanced Painting Contractors, Inc.
(Company Name/Individual Name)
the Painting
(Type of Trade)
�I'Yy Vn
For the project located at 8LF01 Center
have agreed to be
Sub -contractor for Anderson -Moore Construction Corp.
(Primary Contractor)
- Port St. Lucie, FL 34986
(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.
YW
CONTRACTOR SIGNATURE (Qualifier)
PRINT NAME I
��
94O t V
COUNTY CERTIFICATION NUMBER
State of Florida, County of 1 al •61 I P_-;each
The foreeeeg111oin�r�, �'foregoing instrument was signed
before me(t�his 0day of'�r,,
who is persona lly known =Or lyas.pxoduced a
as
�W (! STAMP
Signature of Notary Publir
{e*e aKKcA
Print Name of Notary P blic�,,,,,,
ioa=" °be/' - HEATHE:Expires
RSHALL
�'..- Notary Pube of Florida
Commis989187
"0"' My Comm. ay 4, 2020
Revised 11/16/2016
SUB -CONTRACTOR SIGNATUR (Qualifier)
Chris C. Cornwell
PRINT NAME
I.Wv
COUNTY CERTIFICATION NUMBER
State of Florida, County of
The foregoing instrument was signed before me this 7i .D ,d�aJy of
A
who is personally known 'for has produced a
as identification.
STAMP
S n t ota ubfic
Print Name of Notary Public
;# DEBRAANNZUM
'? Commission#G121149513
q• 'a' ExpiresFebruMY8,2022
"•'.?cJrvo r U WThuTmy Fein laeurenco 6*395.7919
� BEAng
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
have agreed to be
C ompany NanscAndividual Name) /}�
the -C182 fA)r7- Sub -contractor for AN&'CRSOA) - A'Q,0RC`r �ON�PctCIiG�J(o!d
(Type of Trade) (Primary Contractor)
For the project located at Ll4 O _ Cam In p rG2 _ Gof7 er Dr AM SEX eee��/ 339YS
(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.
r)-q0�
COUNTY CERTIFICATION NUMBER i(�p�")Q ��//-1
State of Florida, County of Au4pocav I
The foregoing instrument was signedbefor me thiis , day of J�
�h 20rvbysV�r YJ "sr s )S
Revised I1/1612016
LSM-CONTRACTOR SIGNATURE (Qualifier)
ERr � w .4Toti�
PRINT NAME
WIFE
COUNTY CERTIFICATION NUMBER
State of Florida, County of Foal
The foregoing instrument was signed before me this"day of
,zoo by
who is person ImowI_�__or has produced a
as identiflca
STAMP
sign�4sre of Notary Public
U-�r . V �F•. [
Print Name of Notary Public
tJ��o`• STACI ONEIL
'� • 4'ri Notary Public - State of Florida
Commission # GG 235470
Fy.
'porn°" My Comm. Expires Feb 5, 2021
Bonded through National Notary Assn.
a]
[PERMIT# I I ( — O / ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
Acousti Engineering Company of Florida have agreed to be
(Company Name/Individual Name)
the Acoustical Ceilings Sub -contractor for Anderson -Moore Construction Corp.
(Type of Trade)
For the project located at
(Primary Contractor)
Tax ID #)
R. L VCI f-
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)
01 hS'4,rc-tl rrn
PRINT NAME 1r/�� �l j'�)
�� V V
COUNTY CERTIFICATION]�iNUMBERpa �/�
State of Florida, County of I all C�CCr '
The
foregoing
instrument
�was si ned before me this -Cday of
—YV f/1 V IA.fW , QD, b�s
who is personally known _or has produced a
STAMP
;•io:"�V P6ai
HEATHER M. MARSHAL:
Notary Public - State of Florida
a,.
:>. �o
Commission # FF 989187
''.Fp(,1�;;.�'
My Comm. Expires May 4, 2020
Revised 11/162016 _
3is�ea
COUNTY CERTIFICATION NUMBER
State of Florida, County of 6m�
The foregoing instrument was signed before me this 4 day of
furze 20�by jaV-Aes ie.yzcn4w
/
who is personally known ✓ ' or has produced a
as identification.
STAMP
Signatu of Notary Public
�izoLl C. r�b,`,ndet-
Print Name of Notary Public
ELIZABETH c. FOSBINDER
m MYCOMMISSION#GG153719
=r . .'a EXPIRES: December 13, 2021
•''OFj:,`r'" Bonded ThmNotarypublic Underwriters