HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTPERMIT# I I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
-- — ------ BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
'St. Lucie County Contractor Certification Number: 19055
SCANNED
St. Luca Count,
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-contractorfor 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 ff)
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 lzbw OHN M. APPLEBEE �-5 y l ls"
IGNAT RE PRINTN ME DATE `�—
S OF FLORIDA, COUNTY OF �\ .
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS � DAY OF ' 120 IS
BYAJIrI WHO IS ON�LLY 1 WN OR HAS
PRO CED , ` AS IDENTIFICATION.
(STAMP)
SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC Foe
Notary Public State of Florida
SLCPDS: 08/06/2014 Tracie L Lamb
My Commission EE 159114
n° Expires01126M016