HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTPERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division SCANNED
BY
-- — BUILDING PERMIT St. Lt1Cie County
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 19055
State of Florida Certification Number (Ifapplicable): 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: 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
C:�IJA) OHN M. APPLEBEE
IGNAT RE PRINT ME DATE
S OF FLORIDA, COUNTY OF CAD
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS � DAY OF 20 I J
BY aWHO IS 6NA6LY I WN OR HAS
PRO CED AS IDENTIFICATION.
�.
(STAMP)
SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC
F%(Ct-1l`
Notary ►ublic State of Florida
SLCPDS: 08/06/2014 Tracie L Lamb
My Commission EE 159114
Expires 01125l2016