HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTBUILDING PERMIT
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
(Company Name/individual Name)
ELECTRICAL
(Type of Trade)
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division SCANNED
BY
St. Lucie County
have agreed to be the
Sub -contractor for. GLOMASTER SIGN CO.
(Primary Contractor)
For the project located at 10760 S. US HWY 1, FT. PIERCE, FL / 3414-501-5002-200-9
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: P. O. BOX 15
City/State/Zip: FT. PIERCE, FL 34954-0015 ,
Phone: (772) 466-7930 email: applebeeelectric@bellsouth.net
C� i AIA ) OHN M. APPLEBEES y
7GNAT RE PRINT N ME DATE
S OF FLORIDA, COUNTY OF .
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF 120
BY WHO IS ANALLY K WN OR HAS
PROJWCED AS IDENTIFICATION.
(STAMP)
SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC
♦µr Notary Public State of Florida
SLCPDS: 08/06/2014 :9\r Tracie L Lamb
My Commission EE 159114
or 1° Expires 01/2512016