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HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTISSUE DATE 1 :1 -PLANNING-& DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT St. Lucie County Contractor Certification Number: State of Florida Certification Number (Jf applicable): ES 12001146 FLAMINGO SIGNS LLC ROBERT GRALAK (Company Name/Individual Name) ELECTR!CAL (Type of Trade) For the project located at SCANNL BY St. Lucie Count, have agreed to be the � I- FLAMINGO qlrN.q LLC 0uU-UVJ1LJdQLV1 IVI - — - - - - - - - - - __ - 7582-S-US 1 -PORT-ST-LUCtE (Primary Contractor) (Project Street Address or Property Tax U) It is understood that, if there is any change of status regarding our participation with the Acive mentioned project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00) BUSINESS QUALIFIER (Name of the Individual sho� on the Contractor's License) NOTARIZED SIGNATURES ARE REQUIRED Business Name: Address: City/State/Zip: X__� -A VIX10 ��e_ 4444 SE COMMERCES AVE STUART FL 34997 Ph 220.7377 STATE OF FLORIDA, COUNTY OF email: flamingosigns@aol.com ROBERT GRALAK PRINT NAME MARTIN 11.7.16 DATE 'I" THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAYOF 1dV --- Rt—JRPRT Rit—;F X WHO IS PERSONALLY KNOWN -PRODUCED— — 6, t- t C L- Xfr � A-S-IDENTIFICATION. A-4&t-v /L.- SIGNATURE OF NOTARY PUBLIC Notary Public State of Florida Robert M Rice ommi toOFF 004962 , 1 P d"EpC1m.04'1"030/20l7 ROBERT RICE PRINT NAME OF NOTARY PUBLIC 201� OR HAS (STAMP)