HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT#:L ISSUE DATE
---- — BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
'St. Lucie County Contractor Certification Number: 19055
PLANNING & DEVELOPMENT SERVICES
Building &Code Compliance Division SCgiVNtD
BY
,t Lucie Coup
State of Florida Certification Number (If applicable):
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) (Primary Contractor)
For the project located at 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
Business Name: JAK, INC. dba APPLEBEE ELECTRIC
Address:
City/State/Zip:
Phone:
P. O. BOX 15
FT. PIERCE, FL 34954-0015
(772) 466-7930 email: applebeeelectric@bellsouth.net
C)Wu) OHN M. APPLEBEE S Ll
IGNAT RE PRINT N ME DATE
S OF FLORIDA, COUNTY OF S\ .
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF 20 �IS
BYa�J\61 ou WHO IS AN}1LLY1 WN OR HAS
PROWCED AS IDENTIFICATION.
(STAMP)
SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC
vYw Notary Public State of Florida
SLCPDS:OS/06/2014 R ¢" TracieLLamb
`1 My Commission EE 159114
F4for n° Expires 01/25/2016