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SUB-CONTRACTOR AFFIDAVIT <br /> DATE: r <br /> TO VMOM IT MAY CONCERN: <br /> L Thomas Lachance d/b/a Southern Comfort Eat.Inc. <br /> License Number: CAC1813579 will be the Mechanical <br /> contractor for this permit application. <br /> The job address is:Prem`r SGy�C✓nfeti5 ,5� 1, ��3 �'G 3 33 <br /> e of Ljo&m Holder or Authorized Agent <br /> STATE OF: FL RI)A <br /> COUNTY OF: SU MR. <br /> I HEREBY"CERTIFY that the foregog instrument was acknowledged before me this <br /> day of rr i .20 it by .Thomas Lachance who is personally known to <br /> me.. <br /> S' o€No & <br /> Print,Type,or Stamp of Notuy <br /> ! wi""'•�� DARLENE FORD <br /> # MY COMMISSION#GG094359 <br /> � ••;3rq„�' EXPIRES August 07,2021 <br />