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16-17654
Zephyrhills
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2016
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16-17654
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Last modified
7/18/2017 6:55:51 AM
Creation date
7/18/2017 6:54:40 AM
Metadata
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Building Department
Company Name
FLORIDA MEDICAL CLINIC
Building Department - Doc Type
Permit
Permit #
16-17654
Building Department - Name
FLORIDA MEDICAL CLINIC
Address
38135 MARKET SQUARE DR
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a - <br /> '' . . . <br /> . � Fort Knox Flre and Communlcatrons, Inc. <br /> ', ' ' 6201 Jolms Road Suite 7, Tampa, FL 33634 <br /> ' Phone #813-653-1605 Fa1c#813-653-1710 � <br /> '� EF20000876 ; <br /> u i <br /> � � <br /> � , <br /> � <br /> � , <br /> � City of Zephyrhills <br /> ii, <br /> � Building Department <br /> R <br /> � The following individuals are aut�iorized to obtain permits on all construction projects on my behalf: <br /> i <br /> I Robert Lewellyn Dazuel Whaling Angel Rivera Austin Collins <br /> !� 8404 Westridge Dr 5304 Bellefield Dr 17330 Whisper Breeze Way 9717 Simeon Dr <br /> i Tampa,FL.33624 Tampa,FL 33615 _ Land O Iakes,FL 34638 Land O lakes,FL 34638 <br /> IA50-772-58-299-0 W452-172-61-258�5 R160-00668-102-0 C452-016-97-097-0 <br /> �' <br /> �� h <br /> S' a r of Con or <br /> � � <br /> � Sean P Collins i <br /> Printed Name of Contractor � <br /> � <br /> STATE OF FLORIDA COUNTY OF Hillsborou��i Sworn to (or affirmed) and <br /> subscribed before me t�us lOtti day of AUGUST , 2016, by Sean P Collins, <br /> wlio is X Personally Known to me or lias Produced (type of identification) __as � <br /> identification. i <br /> V � <br /> � i <br /> � I <br /> � C � e � <br /> — -- I <br /> '� _,Signature of Notary ublic � <br /> `�.-� __ -_ �- _-__ :�'."•`'�'if;,: ALVIN E DOUGLAS ; <br /> -' �li_-', �� ti�,�`' r -- �� " '_ �'COMMISSION#FF231395 <br /> ; �; � ~ - ' `� � �• �(i�� �'• ...�' EXPiRES May 17.2019 I <br /> = l�' � �'Sia�e�oi�lorida �"�'�w'� �a�No:�•s.�.��,, i <br /> � =�' -_',�'i�ii.�!"ry_pe/�tamp Name of Notary Public i <br /> �r � _. _ _ <br /> _" :�;, ,_:'i�!: _��,; <br /> -.- - <br /> lr- - , _ _,� <br /> il -._. ,-- <br /> I <br /> I <br /> I <br /> I� <br />
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