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HomeMy WebLinkAboutSub Cont Elec UTBPERMIT # ISSUE DATE PLANNING & DEVELOPMENT SERVICES COUNTYBuilding & Code Compliance Division Bl ILDING PERMIT SUB -CONTRACTOR AGREEMENT (Company Name"Individua: Name) the [ _"; "IQ (Type of Trade) have agreed to be Sub -contractor for Don Hinkle Construction Inc (Primary Contractor) For the project located at Tree Top Trail 1407-342-0035-000-7 (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 tiling of a Change of Sub -contractor notice. Cv, 0 - & Ajz/ CO ACTOR SIGNATtNE (Qualifier) Don Hinkle PRINT NAME. 18470 CGC036040 COI NTV CERTIFICATION NUMBER State of Florida, County +(` The foregoing instrument was signed before me this) day of who is personally known Tor has produced a and" catioo. Signature of NotaryPublic Print Name of Notary \P`owr 9A eC'F1 N 1SSI0o•. H S Z ' Z #fGG 181M Revised II/16201AS'.% 9 .y•' S�i9�/ ;1.°ob/ceUnd �.�•gp��� / Ll 1.5 COUNTY CERTIFICATION NUMBER State of Florida, County of r The foregoing instrument was signed before me this f - - day of . 2OA by fU 1 A01VZ-- who is personally known V or has produced a as identification. �j STAMP � V STAMP Signature of Notary Public PfA111 fi^4- -e— Print Name of Notary Public t V DeAnn A Prue NOTARY PusLIC z STATE OF FLORIDA �• Cain# GGS26989 1 Expires 11/13/2023