HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTPERMH::[
ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
SCANNED
BUILDING PERMIT BY
SUB -CONTRACTOR AGREEMENT St. Lucie Count%
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (If applicable):
19055
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
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
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
i OHN M. APPLEBEE
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MGNAT RE �PRINT N ME DATE
S OF FLORIDA, COUNTY OF
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS �YA DAY OF ' , 20 J
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BY I�,�
WHO IS 9N
LLYI WN
OR HAS
PRO CED
AS IDENTIFICATION.
(STAMP)
SIGNATURE OF NOTARY PUBLIC
PRINT NAME OF NOTARY PUBLIC
z9Y y4f.
Notary State or Florida
SLCPDS: 08/06/2014
Tracie L Lamb
My Commission EE 159114
Expires 0l/25O7/25/2016