HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENTe
PERMIT #
BY I ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
'St. Lucie County Contractor Certification Number: 19055
SCANNED
BY
SL Lucie County
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)
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: SLCCDV (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
/`nwoomOHN M. A P P L E B E E Sy
IGNAT RE '7PRINTN ME DATE
S OF FLORIDA, COUNTY OF �\ .
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS DAY OF 20 I J
I'3'1
SIGNATURE OF NOTARY PUBLIC
SLCPDS: 08/06/2014
WHO is ANALLY 1 WN
AS IDENTIFICATION.
NOTARY PUBLIC
OR HAS
(STAMP)
r Notary Public State of Florida
Tracie L Lamb
My Commission EE 159114
'•o, no Expires 01/25/2016