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16-17082
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16-17082
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Last modified
2/20/2017 10:10:24 AM
Creation date
2/20/2017 10:10:23 AM
Metadata
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Building Department
Company Name
FOREST VILLAS
Building Department - Doc Type
Permit
Permit #
16-17082
Building Department - Name
HERNANDEZ,FRANK
Address
5855 FOREST LN
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31116 ELOIAN DRIVE Date: / /2015 Contract#: <br /> WESLEY CHAPEL, FL 33545 � <br /> -- TeL (813)907-9877 Hm: � �i�' �p�— ��`C����� C�S 6'Z�`' <br /> B ' �G; Fax. (813)994-7827 Bus: Fax: � <br /> �) {�t . <br /> Email: serviceC�bigdogfence.com Email:�v: a��b,�.s (,�' �:#.x-t.4 �Cc: �� <br /> www.bigdogfence.com r,o�c�t�: a3 q t..�i 3R S <br /> . � <br /> � � t <br /> �`" � � PROPOSAL/CONTRACT <br /> , � ,': <br /> ��"�"�,���'�� <br /> Buyer. � ��• C ��' � Gi / ' � �;.� Subdivision: <br /> � <br /> Mailing Add: �� ��� �'��6� C�� T �=c-Gi � City��,Q ��ci'G�"�' State��Zip ���r� <br /> � - <br /> Job Site Add: City State Zip <br /> Cross St: �kvl /l�LGr Lot# Block Property Owner.�Yes _No <br /> Units Matertals and/ar Services <br /> � <br /> � { y�.�� � <br /> � ; , <br /> � " ��'.� �-�-=--� �� 1� �,�, ;� � _ <br /> �.' --c�+^^"`�.�f�'r �� �� ` ��?�� �x:� <br /> ) � y� <br /> )/ • Q.� �� [irC:'� g <br /> . r, ,� � ���. � <br /> a - �� ` ` , � •Q �,�� � '2 fs <br /> �.- � , a �'s�� <br /> C `V 1ib � � `�S' Z. y <br /> F _ 1�, 3 �1 I7 <br /> FN' '� ��`� 1 ''• � <br /> � _ . e / l 5 '1 <br /> _ _ . �yf <br /> !-,/� <br /> 1 �[' <br /> � - <br /> '_Amex_Disc _PayPal 5; $ . _ <br /> , . � � � <br /> Aamunt Number-lixluds aU Num6ers �����/ <br /> Ymr 3-4 Digit Code � � <br /> i <br /> � m <br /> �rtation Date <br /> Credit Card � <br /> Authorized Signature: / / <br /> - oate <br /> Buyers <br /> Signature• _ �' �/ li /�� <br /> `� -/wc� f,,•� <br /> Selle � �/J� � <br /> Seller:BiQ Do�Fence, Inc. Agen • V"- V � <br /> V <br />
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