HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT# 1 1602-0280 I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. L> cie County Contractor Certification Number: 9055
State �of Florida Certification Number (If applicable): EC #0002956
JAK, INC. D/B/A APPLEBEE ELECTRIC
SGANN, .
BY -
St Lucie Gr-
have agreed to be the
ELEI (Company Name/Individual Name) I B S BUILDING CORP.
CTRICAL Sub -contractor for
(Type of Trade)
(Primary Contractor)
I
For the project located at 4750 MAGNUM DR., FT. PIERCE, FL
(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
i
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 shown on the Contractor's License)
i
NOTARIZED SIGNATURES ARE REQUIRED
JAK, INC. dba APPLEBEE ELECTRIC
Business Name:
A AA-- P. O. BOX 15
City/State/Zip: FT. PIERCE, FL 34954-0015
Phon I: (772) 466-7930 email: applebeeelectric@bellsouth.net
JOHN M. APPLEBEE y ,\
IGNA RE PRINT NA E DA E
ls_jwllOF FLORIDA, COUNTY OF
I `
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THISj6-/- DAY OF aoN 1 , 20
BY rn WHO IS P SONA OWN OR HAS
PROD,I'J ED AS IDENTIFICATION.
i t , c_� La" (STANII')
TURE O OTARY PUBLIC PRINT NAME OF NOT
IS: 08/06/2014 El)
NoWy Poo stile of Flerma
Trade L Lamb
My Commission FF 947863
Expires 01/25/2020