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16-17992
Zephyrhills
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2016
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16-17992
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Last modified
7/20/2017 2:33:57 PM
Creation date
7/20/2017 2:33:55 PM
Metadata
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Building Department
Company Name
PARKHILL
Building Department - Doc Type
Permit
Permit #
16-17992
Building Department - Name
LUBBERS II,JOHN W & MADELYN H
Address
6102 16TH ST
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. • , • �-�- <br /> _ r . G � ��� <br /> HillsbOrou�h County <br /> Florida <br /> � '�� <br /> BUILDII�G SEI�V�CES DIVISdON <br /> � CERTIF�Ce�►TE �F � <br /> , ��i'� �������' <br /> � c��a���z�� �aoo�z�v� cora�a�c�o� <br /> �C�1330041 09/30/201� <br /> Certificate Number License Expiration Date <br /> i <br /> ! Issued to:�E�.�S �+VIN M <br /> ! DBA:h200]FS1�I'TI�OF�'AN[P�.BA�'INC <br /> � Workers'Comp: 12/31/2016 <br /> � <br /> � ����1� <br /> Issuing Officer <br /> � CUT AIANG OUTER DOTTED LZNES�FOLD AIANG THE MZDDLE DOTTEp LINE, <br /> � PLACE IN WALLET <br /> � <br /> � '__'_"'_""_""_'__""_"'_"'"'_"'"'_"_I <br /> � I""'_'_"_ SZGN YOUR C71FtD I <br /> ' �This card is non-transferable and is revocable for cause� <br /> i � <br /> The contractor lieted hereon will be held responsible � <br /> for all permita iseued under thi� card. If this card is� <br /> ; lost or atolen, notify the xillsborough Co. Contractor <br /> � ILicensing Team ii[miediately at (813) 635-7308/7309. <br /> Your card muat be renewed prior to the expiration date <br /> shown on the front. <br /> � <br /> ' Signature not valid unlesa aigned <br /> � ----------------------------------- <br /> I '------------I <br /> � ---- CERTIFICATE OF C�ETENCY <br /> � HILLSBOROVGH COUNTY� FLORSDA � <br /> I Y�pe:CERTIFiED ROOFZNG CONTRACTOR � <br /> NO PERMIT UNTIL STATE REGISTERID, IF APPLICABLE � <br /> I � CCC1330D41 09/30/201B � <br /> ICertificate No. Expiration Date I <br /> Iaeued To: <br /> � HA89.KEVIN,_M.� . - , <br /> I _ . ., .. , . —. .. . ... �._� „ .._. <br /> � DHA:AOOFffi�IITH OF TAMPA SAY INC I <br /> � Workere'Comp: 12/31/2016 � <br /> � is—`su ng Officer � <br /> ---'--'----'-'-----------'---'-------"'----'-------'-'----" <br /> I <br /> I <br /> � <br />
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