HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERV�ENED
Building & Code Compliance Division W
St. Judie County
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
'St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
19055
EC #0002956
JAK, INC. D/B/A APPLEBEE ELECTRIC have agreed to be the
(Company Name/Individual Name)
ELECTRICAL Sub -contractor for GLOMASTER SIGN CO.
(Type of Trade)
For the project located at
(Primary Contractor)
10760 S. US HWY 1, FT. PIERCE, FL / 3414-501-5002-200-9
(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, 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)
NOTARIZED SIGNATURES ARE REQUIRED
JAK, INC. dba APPLEBEE ELECTRIC
Business Name:
Address:
City/State/Zip:
Phone:
P. O. BOX 15
FT. PIERCE, FL 34954-0015 —
(772) 466-7930 email: applebeeelectric@bellsouth.net
C:)W") OHN M. APPLEBEE S Ll
IGNAT RE SA,
ME DATE
S OF FLORIDA, COUNTY OF S\ .
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS � DAY OF ' 120 VS
BY a\-�/N �MAJInI�o t WHO IS ANALLYK WN OR HAS
PROUCED AS IDENTIFICATION.
(STAMP)
SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC Fal
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Notary Public State or Florida
SLCPDS:08/06/2014 ^. TracieLLamb
My Commission EE 169114
N Expires 01125/2016