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18-20048
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18-20048
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Last modified
5/30/2019 7:34:30 AM
Creation date
5/28/2019 11:55:48 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
18-20048
Building Department - Name
ROBERTS,YVONNE C REV LIV TR
Address
5240 GALL BLVD
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J. H. HAM ENGINEERING, INC. <br /> Electrical & Instrumentation • Engineering & Construction <br /> POWER OF ATTORNEY AND AUTHORIZATION <br /> TO DRAW CONSTRUCTION PERMITS <br /> FROM: J. H. Ham Engineering, Inc. <br /> P O Box 5106 <br /> Lakeland, FL 33807 <br /> TO: City of Zephyrhills <br /> 5335 Bch Street <br /> Zephyrhills, FL 33542 <br /> DATE: 7/16/2018 <br /> I,James H.Ham III,the holder of State of Florida Electrical Contractor license registration number <br /> EC0000571, hereby name, constitute, and appoint William Meddleton , my attorne}-in-fact for <br /> the purpose of applying for and receiving permits in my name. I hereby represent and warrant to <br /> that all work performed under the authority of such permits shall be performed by <br /> me or under my supervision, and that I shall be fully responsible for the proper performance of said work. <br /> (Check one of the following): <br /> ( ) This power of attorney and authorization to draw permits is limited to the job as described as <br /> (type of construction project and specific location) <br /> ( ) This power of attorney and authorization to draw permits shall expire on <br /> (date of expiration) <br /> (X) This power of attorney and authorization to draw permits shall continue in full force and effect <br /> until I deliver to you a letter revoking the power. <br /> (Si-nat e o ontractor) <br /> 7 <br /> (Signature of designated attorney-in-fact) <br /> 863-646-1448 <br /> (Current Address Area Code - Telephone Number) <br /> STATE OF FLORIDA <br /> COUNTY OF �pLK <br /> Subscribed and sworn to before me this �� day of , 20/S <br /> Notary Public <br /> 0 <br /> My Commission expires S (NOTARY SEAL) <br /> _`"• - OLIVE <br /> ?' �= N^' 1Y Pualic, state of Florida <br /> My comm, expires Jan. 29,2022 <br /> 602 BRANNEN ROAD • P.O. BOX 5106 "' Comrni6 O—Number GG173254 OFFICE: (863) 646-1448 <br /> LAKELAND, FLORIDA 33807-5106 FAX: (863) 644-0784 <br />
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