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18-20047
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18-20047
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Last modified
5/30/2019 7:34:02 AM
Creation date
5/28/2019 11:55:08 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
18-20047
Building Department - Name
PEEPLES FAMILY CORP INC
Address
5233 GALL BLVD
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c ' <br /> i <br /> 11. In to Department. The Owner shall not be liable for any injury,damage or loss on the Property suffered <br /> by the Department,Department employees or Contractors not caused by the negligence or intentional acts of the <br /> Owner's agents or employees. <br /> 12. Sovereign Immunity.The Department acknowledges and accepts its responsibility under applicable law <br /> (Section 768.28,Florida Statutes)for damages caused by the acts of its employees while on the Property. <br /> 13. Public Records. All documents created or received associated with the Permissible activities are a public <br /> record pursuant to Chapter 119,Florida Statutes.The Owner may retrieve any documents or other information <br /> related to the Permissible Activities online using the facility or project number referenced above in paragraph 4. <br /> hqp://dgpedms.dgp.state.fl.us/Oculus/servlet/login?action=login <br /> J <br /> Signature of each Property Owner SS ature of Witness <br /> T <br /> Pr�' t Name Date Print Name Date <br /> P.6— a()/C 10S-s <br /> Mailing Address 1�`^ <br /> 61PLL- Lei '& <gMdiz,Coc.-A <br /> Telephone or Cell Phone Number E-mail Address <br /> Accepted by Contractor on behalf of the State of Florida Department of Environmental Protection: <br /> Signs a of ctor Signature of Witness <br /> i <br /> Kimball D.Ergler f Z <br /> 7/41 v- <br /> Print Name of Contractor ate Print Name Date <br /> FRS Environmental Remediation DBA The FGS Group KPA b q It Ffy I �-- <br /> Contractor Company name Contractor's Contact name <br /> i <br /> 120 E MLK Boulevard kergle@thefgsgroup.com <br /> Contractor Mailing Address Contractor Contact email address <br /> Tampa FL 33603 813-623-1557 <br /> I <br /> Contractor Company City and zip code Contractor Contact's phone number <br /> Paget of 2 <br /> PRPOMIteAccessAgreement 04042016 <br />
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