HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division SCANNED
BY
BUILDING PERMIT .St. Lucie CotjM
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 19055
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)
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: P. O. BOX 15
City/State/Zip: FT. PIERCE, FL 34954-0015
Phone: (772) 466-7930 email: applebeeelectric@bellsouth.net
C:)W") OHN M. APPLEBEE
IGNAT RE PRINT N ME DATT
S OF FLORIDA, COUNTY OF
THE F1O`REGOIN(�/lJ�nt-.n N�1LLY 1 W
G INSTRUMENT WAS SIGNED BEFORE ME THIS � DAY OF ' 20 �IS
BY 1 hVv-, �Ma WHO IS N OR HAS
PRO �'�` AS IDENTIFICATION.
(STAMP)
LO
SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLICF%C1W
otary Public State of Florida
SLCPDS: 08/06/2014 racie L Lamb
y Commission EE 159114
xpires 01/25/2016