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17-19054
Zephyrhills
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2017
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17-19054
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Last modified
8/16/2018 2:04:40 PM
Creation date
8/16/2018 2:04:39 PM
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Building Department
Company Name
VERIZON
Building Department - Doc Type
Permit
Permit #
17-19054
Building Department - Name
SHIVA 6005 GALL LLC
Address
6011 6009 GALL BLVD
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� � • <br /> � <br /> NATIONAL GENERAL CC)NTRACTQRS �8�,2�,95 <br /> AUTHORIZATION LETTER <br /> I, Christina Scherer Bock , contractor license number CBC 1260195. Hereby authorize the <br /> following to act as my agent in obtaining permits and inspections in the City of Zephyrhills <br /> and Pasco County Florida. <br /> William Gentry State of FL—G536-931-74-300-0 <br /> Agent's name Driver's License Number <br /> Ronald Strange State of FL—5365-725-57-332-0 <br /> Agent's Name Driver's License Number <br /> Christopher Pavnter State of FL—P536-117-73-011-0 <br /> Agent's Name Driver's License Number <br /> William Leeka State of FL—L200-925-61-344-0 <br /> Agent's Name Driver's License Number <br /> Barr Lamb State of NC—447-0082 <br /> Agent's Name Driver's License Number <br /> This authorization is to remain in effect indefinitely,unless canceled by me in writing. <br /> �'f <br /> ontractor's Signature <br /> Sworn to and subscribed to before me this I� day of �m/Y,�.�,� <br /> 2017 by ('�,��'� Sr�p. r�r� , ,who is personally know to me or has <br /> produced_�� ,U� ��r,�, as identification and who did(did not) <br /> take an oath. , <br /> � ���a�u�.� <br /> Notary Public <br /> My commission Expires �7 a.p� <br /> o�''"Y•:°ef% DANIELLEWiLLIAMSON <br /> * ,� b1Y C0�4MIS510N�FF 15�380 <br /> EXPIRES.August 27,2018 <br /> N�'�TF�.oP Bord:d Thiv Budgel Notzry Services <br /> 4239 63RD STREET WEST•BRADENTON, FL 34209 • 941-795-6100 • FAX 941-795-6101 <br /> www.tdsconstruction com <br />
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