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PERMIT #
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Divto
ision
BUILDING PERMIT
SUS -CONTRACTOR AGREEMENT
0,y
Ed's Electric, Inc. _ have agreed to be
(Company Name/Indivi'dval Name)
the Electrical Sub -contractor for halm Pool and Spy, Inc.
('I"ype of Trade) (Pfimary Contractor)
For the pr '
ect located at 1530 Pineburke Lane Ft. Pierce, FL 34947 12302-601-0027-000-3
(Project Street Address or Property Tax ID #)
it is unders "Cc od that, if there is any change of status regal dinb our participation with the abovementioned
project, the Building and Cede Regulation Division of St. Lucie bounty will be advised pursuant to the
filing of a Change of S-Lib-contractor nonce.
CONTRACTOR SIGNATURE (Qualifier)
Adam Hall
PRINT NANW,
32242
COUNTY CERTIFICATI i � MBE
State Florida, �' t• of
I
rg i i nstru ent � ig ed before we this day of
F
who is personally known or has produced a
as R n .ification.
5
SUB -CONTRACTOR SIGNAT
PRINT NAME
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COUNTY CERTIFICATION NILYM13kit
State of Florida, County
4
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The foregoinfr instrument was stoned h fore me tbday of
by cc/L �.
who is esxTn r has produced
as i4enti Lion.
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