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St. Lucie County
�J G Building g & Zoning
OR10P• BUILDING PERMIT
SUBCONTRACTOR SUMMARY
19140wIV 13-k4Y
:r—Om (&� will be using the following sub -contractors for the
(Company/Individual Name)
project located at, 9-7 lv US / FrjLc-ozce Fl-- A0
(Street address or Property Tax ID #)
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
Electrical
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Plumbing
ong
Mechanical
Roofing
Gas
OFFICE USE ONLY:
PERMIT ISSUE DATE:
NUMBER: I I I -