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17-18917
Zephyrhills
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2017
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17-18917
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Last modified
7/31/2018 1:28:50 PM
Creation date
7/31/2018 1:28:50 PM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
17-18917
Building Department - Name
RIVERA JR,PEDRO & DAWN
Address
5244 3RD ST
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�� <br /> �� <br /> ' � � <br /> � � <br /> F-�OINSE �EF�VICES <br /> �� <br /> To Whom It May Concern: <br /> Please be advised that I,Jesse Jackson of ACS Home Services, Inc. #CAC1818754 do authorize ' <br /> the following person to purchase/pick up permits and sign on my behalf. Please update your <br /> records with the name provided below: <br /> � <br /> • Vanessa Smith <br /> I s�ear t he above statement is true and correct to the best of my knowledge. <br /> ;. � � -� 7� / � <br /> ff�a' S gnature Date ; <br /> J sse Jackson <br /> Affiant Name <br /> worn to and subsc ibed before me this�day of �� ���� <br /> � ����:��;e,� � <br /> l <br /> N tary Pu li <br /> .1i��u�a� <br /> ,�� vP •. JENNIFER F.MACCHIELLO <br /> :'?°• «��; Notary Public-State of Florida <br /> Personally Known: � ;'�•_ Commission#FF 234363 � <br /> '%�+ ��� M Comm.Ex � <br /> ID Taken: .,,��o��„�,,• Y pires May 26,2ois , <br /> Bonded through National Notary Assn. ; <br /> ACS Home Services 0 CAC 1818754 <br /> 1712 E Seward Street Tampa,FL 33604 0 813-618-5631 0 Office 855-773-7693 <br /> � <br />
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