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16-17786
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2016
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16-17786
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Last modified
7/19/2017 7:11:34 AM
Creation date
7/19/2017 7:11:33 AM
Metadata
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Building Department
Company Name
ZEPHYR HEIGHTS
Building Department - Doc Type
Permit
Permit #
16-17786
Building Department - Name
PEREZ,ROBERT & MARIBEL
Address
39338 6TH AVE
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\v . • <br /> � ` ' S�. r <br /> .. ��! . . <br /> P4WFR 4F'ATTClI�C��EY A,,1�}A�I'THU�tiZ,A,TION . <br /> TO DRAW GUNSTRIICTION'PFI�NIITS <br /> FROM• -.l�-ert���:�" 4�d��,�-r1C, . <br /> amp y Natne) <br /> ...�-��� 3+J� <br /> . �m�e.���a��,e�, � <br /> 33� <br /> � 3 � lo� SY7 !I <br /> ' (Company P�ioae#) . <br /> DAT'E: ���_„c���� � " . <br /> I� � ,-��, YY1�2,rr��N- T�]'E HOLDER OF STATE <br /> Ce,�-+►�-c 2ov �„ U� , REGISTRATTCIN <br /> NUMBER�"r '�-' �3�(o��-r' ?HER.EBY NAME.� CQNSTITUTZ AND <br /> APP4INT ;�.�v�.vt.� rrn�.r-r-; -H�- - w�,,�c.-s ' lt+�'Y' <br /> , <br /> ATTORNEY�t FACTFORTI�PURPOSEOFAPPLYINGF�RANDRECE:CVIlv'G <br /> PERMITS Il�MY NA1V1F.. I H'ER�BY R,F�F:ESENT A�3�WA��L�NT Tt� '�� <br /> - CITY 4F LAKE WALES '1'HAT ,AI.L WORK PERF4RMED UNDER THE• <br /> • Att1'�IC}RIT�'OF SUC�I PERMI'T3 S1:fAZ�t�BE PERFt3R11r�'�i}BY ME t3R ZENDF�t <br /> : MY SUPER�'ISION, AND THAT I SHAL�L BE FULL RESPONSYBLE FOR THE <br /> PR4P£R PE�F(?R�M;ANCE�F SAID WORK. <br /> ; ._. <br /> Au�to��ta�v �w,as.�n��ijortE�r.�toNi�►A�oFx�cE�itnv�ss <br /> - CI}YDED SOCINER.. � '' <br /> � : (SIGNA tJF CONTRAt:'I`t3R <br /> . ( GNA"T`URE OF 17ESIGNATEI)ATTORNEY-IN FACT <br /> STATE 4F FL4RID;�A. _ <br /> COUNTY 4F P4LK; - <br /> � The foregoing instrument was acknowied�ed before me on this � Day af .�-� ,��'�� <br /> by W a,�h.� ►�Y�-ev�r'�-�f� __ who is personaily known to nu or who praduced the <br /> , � <br /> followirig�.D. ` ----�--• � <br /> ; <br /> NOTARY PUBLIC � `e SRAT- <br /> P�Pernsftp°w = <br /> � � <br /> , , rO.�yRY PUg`iC SEVERLY I..EFMI <br /> � * MY COM�+IISSION#EE 22043 i <br /> � EXPIRES;November 30,2016 . <br /> . �rarFo�ft4e.�O4 8a(tded Thit!9Udg81 N0F2fy SeNlCES <br /> , � <br /> i • <br /> � <br />
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