HomeMy WebLinkAboutSUBCONTRACTOR AGREEMENTPERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
'St. Lucie County Contractor Certification Number: 19055
State of Florida Certification Number (Inapplicable):
EC #0002956
SCANNED
BY
St. Lucie County
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: P. O. BOX 15
City/State/Zip: FT. PIERCE, FL 34954-0015
Phone: (772) 466-7930 email: applebeeelectric@bellsouth.net
OHN M. APPLEBEE5 1 y
IGNAT RE �P'RINT N ME DATE
S OF FLORIDA, COUNTY OF �\ .
THE FOREGOING INSTRUMENT WAS SIGNED BEFORE ME THIS � DAY OF 120 �IS
BY �� N�� �ft(dJlol �n , r WHO IS 0Nt1LLY I WN OR HAS
PROOIji CCE'D L AS IDEINTI—FICATION.
(STAMP)
PRINT NAME OF NOTARY PUBLIC
ISGNATUREOFNOTARY PUBLIC IF
T
NolaryPublicStateofFlorida
SLCPDS: 08/06/2014 Tracie L Lamb
My Commission EE 159114
Expires 01k512916