HomeMy WebLinkAboutSUB-CONTRACTOR AGREEMENT11 PERMIT# 1 1 g 1 0-0277 ( ISSUE GATE
a,s PLANNING & DEVELOPMENT SERVICES
a r Building & Code Compliance Division
® J"
° t BUILDINGPGRMIT SC gNNED
SUB-CONTRACTORAGREEMENT By,
St. Lucie COUnty
have agreed to be
'the 4 it i ftia Kwko. Sub -contractor for St. Lucie County
fTvneofTiade1i---- (Primary Contractor)
For the project located at 10350 S Ocean Drive
(Project Street Address or Property Tax IV
It is understood that, if there is any change o f status regarding oui participation with the above mentioned
project,, the Building, and Code Regulation Division: of St. Lucie County will be advisee! pursuant to the
filing of a Change of Sub -contractor notice.
CONTR CTORSI NATM' (Qualifier)
Jeremiah Johnson
-PRINTNAME
COUNTYCERTIFICATION NUMBER
State of Florida, county or St. Lucie
The foregoing instrumentwas signed before me this 18 dayof
October 20 18 I y Yerenria(i Johnson
who is personally known X or has prQdueed a
2M,ifle flan
STAMP
tuear Notary Public
941J SSA
MELISSA S. BOECKEL
• Commission # FF 979475
"Expires
rApril
ru Tray Fa020surence 500.395.7019
Revised'1111W016
3-CONTR"CrOR:SIG Qualiaer)
PRINT NAMB
COUNTY CERTIFICA'ITON NUMBER
State or Florida, County of \1�10l _ f
The fowr goolingg Instrument was signed before me ib(�bl day or
wbo is persoually known _or has produced a_Fj CJ-1g
�A*UdA� �1,fi�MzR.
as identification.
U O.+ :. �•..Q�\ ": c STAMP
,gnaN ofNotnry Public
PERMIT# , 11810-02/7 I. ISSUE DATE
PLANNING & DEVELOPM ENT SERVICES
Building & Code Comlpfiance Division
BUII,DING PERMIT
SUB -CONTRACTOR AGREEMENT
Sub -contractor for St.
For the project located at 10350 S Ocean Drive
(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, the Building and Code Regulation Division of St Lucie County willbe'advised pursuant to the
filing of Change of Sub -contractor notice.
CONTRA ORSIGNATURE;(. uelirier)
Jeremiah Johnson
YRINTNAME
COUNTY CERTIPICATIONNUMBP.R
State orwrida,.County of .StLucie
Therorewingiashument was signed before me this 18 day of
October 2018 w Jeremiah Johnson
who:spersoaa0y known X ortasproduceda
as idcolifica-. a
STAMP
r 'u ofNotary Pobae
a 6-w Sv S
PrintName ofNotory Public
MELISSAS.67KEL
. Comudssionk FF 979475
r ErpiresAprd6 2620
'Pp 1;M Bonded Tr• ir. rm:11su•anoe 8N.385.7019
Revised 11/162016
SIGNATURE',(Q-ua6e5er) �^
�tiJb'�yv�J
PRINT AME,
L 99
COUNTY CERTIFIC&TION NUMBER
Stateofblerhba,Counryof -- LAAr,
Ile foregoing
oing instrumentwas signed before me this � tlayo/If
•.S-Jtl ! a-2et3 by Sl aw, Lx W,
who is personally known ✓r has produced a.
ns idenhTicetion.
t � � STAMP
atmeorriefary Public
74M"A /W le Jarsu
PrintName ofNotaryPubbe
JASON M RAULERS]Flodda
llot PC - State ol
' �� = Commission N FF96
My. COMM. Expires Feb 2