HomeMy WebLinkAboutSUB CONTRACTOR AGREEMENT11 n
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
a ' -1 Building & Code Compliance Division
SCANNED
— BUILDING PERMIT BY
SUB -CONTRACTOR AGREEMENT St. LUCIe COUnty
St. Lucie County Contractor Certification Number: 19055
State of Florida CertifiicationNumber (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:
P. O. BOX 15
FT. PIERCE, FL 34954-0015
Phone: (772) 466-7930 email: applebeeelectric@bellsouth.net
APPLEBEE
1 /LPL
DATE I
U
NALLY I BY ate,,. WHO IS WN
PRO CED AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC 4rrw
SLCPDS: 08/06/2014
orn°7
, 20 VS
OR HAS
(STAMP)
Notary Public State of Florida
Tracie L Lamb
My Commission EE 159114
Expires 01/25/2016