HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTna
PERMIT # ISSUE DATE 11
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
'St. Lucie County Contractor Certification Number:
State of Florida Certification Number (Inapplicable):
19055
EC #0002956
SCANNED
BY
St. Lucie County
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)
Forthe 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: SLCCDY (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 entail: applebeeelectric@bellsouth.net
C�)Wu/o OHN M. APPLEBEES I y 1 is'
IGINATRE PRINT ME DATE
`
SF FLORIDA, COUNTY OF .
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS � DAY OF ' 20 IS
BY WHO IS 9AFALLY I WN OR HAS
PROJJ CED n n AS IDENTIFICATION.
(STAMP)
SIGNATURE OF NOTARY �PUBLIC PRINT NAME OF NOTARY PUBLIC F%M-1
Notary Public State of FloridaSLCPDS: OS/06/2014 Tracie L Lamb
My Commission EE 159114
EXPifea 01/2512016