HomeMy WebLinkAboutSUB-CONTRATOR AGREEMENT i
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
9 p -
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT
I
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Flamingo Signs Robert Gralak have agreed to be
I (Company Name/Individual Name)
the Electrical Sub-contractor for Flamingo Signs
(Type of Trade) (Primary Contractor)
For the project located at 10525 S OCEAN DR
(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
pr ject,the Building and Code Regulation Division of St nt will be advised pursuant to the
filing of a Change o ntractor noti
CONTRACTOR SIG (Qualifie ) CONTRA OR SIGN (Qualifier)
RO GRALAK ROBERT GRALAK
PRINT NAME PRINT NAME
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COUNTY CERTIFICATION NUMBER COUNTY CERTIFICATION NUMBER
State of Florida,County of N 4 A i/y State of Florida,County of )M 71H //
Th;foregoing instrument was signed before we this day of The foregoing instrument was signed before me this
/0 day of I
LC LIM1tt 20U,byy 0'J I �-/LA 4 &-CUanCh ,20k,by Ad11G/•7 !!' bLh`k
who is personally known )( or has produced a /�� �' <<�Sl who is personally known L-'—or has produced a �/L L c E NS L
I
as identification. as identification.
• / 4tz STAMP /�t6 STAMP
Signature of Notary Public Signature of Notary Public
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Print Name of Notary Public Print Name of Notary Public
Notary Public State of FloridaRobert M Rice['�FOF
My Commission HH 103595 Notary Public State of Florida
Expires 04/03/2025
Robert M Rice
r My Commission HH 103595
Revise 1 - 0 aw Expires 04103/2025
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