HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
[sell ' 'd - Building & Code Compliance Division SCANNED
-- BUILDING PERMIT BY
SUB -CONTRACTOR AGREEMENT' LuGG 'i.0llnt'
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) (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
JAK, INC. dba APPLEBEE ELECTRIC
Business Name:
Address:
City/State/Zip:
Phone:
P. O. BOX 15
FT. PIERCE, FL 34954-0015
(772) 466-7930 email: applebeeelectric@bellsouth.net
OHN M. APPLEBEE J�" I ,is—
IGNAT RE 9-2RINT N ME DATE
S OF Y OF FLORIDA, COUNT .
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS Llg DAY OF Mau 120 ICJ
BY I a� �MAJId�n�{ WHO IS ONAALLY I N OR HAS
PRO AS IDENTIFICATION.
PRINT NAME OF NOTARY PUBLIC
SIGNATURE OF NOTARY PUBLIC �v+•o� Notary public State of Florida
SLCPDS: 08/06/2014 Tracie L Lamb
My Commission EE 159114
�orno) Expires 01/2512016