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16-17951
Zephyrhills
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Building Department
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2016
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16-17951
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Last modified
7/20/2017 1:00:21 PM
Creation date
7/20/2017 1:00:20 PM
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Building Department
Company Name
HAZEL HEIGHTS
Building Department - Doc Type
Permit
Permit #
16-17951
Building Department - Name
ADAMES,ADONIS & AYALA, VIRGEN
Address
5510 24TH ST
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__ � <br /> , ° I . , <br /> � � � � <br /> I � <br /> I <br /> � , <br /> � <br /> i <br /> � - <br /> ; RC��F'iNG �- <br /> � Fraud toServe the GreritStnte of Fforida <br /> 8431d.Dixie F7eewvy New Striyrii4 BevCfi,ft 32268 <br /> CorporrateC?fJlce:(38'6j423-o6,6, ��^;�+ <br /> Corna Office t(32YJ743-7663 <br /> r�,rrpff affi�r�.(Et3)es��osa <br /> Fax:(386jA23-0676 <br /> ATCN: City Of Zephyrhills <br /> 5335 th St. <br /> Zephy�hiils, FL 335�2 <br /> l, Michele Tauscher, as the contractor for Sun Coast Roofing Services, license number CCC1329155.�Authorize <br /> the fo lowing people to subrnit, pay for, and pick up permits, <br /> Britta y Seltman <br /> Chuc Peterson <br /> Mary Surnicki <br /> Kevin Simms <br /> Qann O'donnel! <br /> .�--� <br /> ii �'` <br /> V� <br /> � <br /> antr ctor Signature <br /> i r ,., <br /> �I The f; �oi g i strum t was cknowledged before me thi�day of 2Q�1�,� <br /> �, gY�'� / d��_�� �1�as {type of authority,e.g.officer,trustee,attomey in fact} <br /> i <br /> For (� , as <br /> {Name of Person} {Type of autharity,...e.g.officer,trustee,attarney in fact} <br /> Fot' � (name of party on beh of w m instr ment was executed} <br /> Pers�o n � �'�.��ID <br /> =•: �•: Mv cprusMissfoN�F��38�4 Notary Signature <br /> �'•�,!�... ExPtREs i�tovera�et ti4.2M9 <br /> �,or��e-a„3 ,,�,,,, Print Name 1� _ <br />
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