HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENT_T
F
MIT# ISSUE DATE
7
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
SCANNED
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-- BUILDING PERMIT BY
SUB -CONTRACTOR AGREEMENT St Lucie County
'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
(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:
City/State/Zip:
Phone:
P. O. BOX 15
FT. PIERCE, FL 34954-0015
(772) 466-7930 email: applebeeelectric@bellsouth.net
APPLEBEE
DATEI I
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS � DAY OF ' 20 lS
BY JI a —V-" i WHO IS 9N-ALLY I WN OR HAS -
PRO CED AS IDENTIFICATION.
• � I - ��,`��.1 � (STAMP)
SIGNATURE OF NOTARY PUBLIC PRINT NAME OF NOTARY PUBLIC
R'ey)
Notary Public State of Florida
SLCPDS: 08/06/2014 Trade L Lamb
My Commission EE 159114
Expires oi/25/2016