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PERMIT# ISSUE DATE
•.:;_ - ems_:__----- � PLANNING & DEVELOPMENT SERVICES RECEIVED
Building & Code Compliance Division
o NOV;.O 2 1010
BUILDING PERMIT Permitting Department
SUB-CONTRACTOR AGREEMENT St. Lucie County
Patrick's Electric Company/Patrick Hosey have agreed to be
(Company Name/Individual Name)
the Electrical Sub-contractor for Noreen Rayner
(Type of Trade) (Primary Contractor)
For the project located at 1066 Nettles Blvd Jensen Beach,FL 34957-4502-501-1253-000-6
(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.
YOUZ&4VEI A
CONTRACTOR SIGNA URE(Qualifier) SUB-CONTRACTOR SIGNATURE(Qualifier)
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PRINT NAME PRINT NAME
COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of W)c State of Florida,County of ML
The foregoing instrument was signed before me this day of The foregoing instrument was signed before me this day of
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who is personally known,�/or has produced a who is ersonally known 7.r has produced a
as id tion*
as entificati
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