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ST. LUCIE COUNTY PUBLIC WORKS
BUILDING,,,& ZONING DEPARTMENT
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
(companyrindividual name)
will be using the
following sub -contractors for the project located at GWI S �, US 1� �L-A
(street address or property tax ID 1*
It is understood that if there is any change of status regarding the participation of any of
the sub -contractors listed below, I will immediately advise the Building and Zoning
Department of St. Lucie County.
Trade
Name of Company/Contractor
St Lucie County/
State of Florida License
Number
Plumbing
Electrical
HVAC/Mechanical
Roofing
Gas
OFFICE USE ONLY: SLCCDV FORM NO.: 003-00
PERMIT NUMBER: I I ISSUE DATE:
St. Lucie County!
Trade _Name of CompanylContractor State of Florida License
~' Number