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18-20361
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2018
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18-20361
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Last modified
6/4/2019 9:53:24 AM
Creation date
6/4/2019 7:12:32 AM
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Building Department
Company Name
ADVENTIST HEALTH SYSTEM
Building Department - Doc Type
Permit
Permit #
18-20361
Building Department - Name
ADVENTIST HEALTH SYSTEM
Address
7350 DAIRY RD
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Date: 10/5/18 <br /> To Whom It May Concern: <br /> License Holder: Steve Lott State License: ES-12000355 <br /> Firm Address: 4141 Mowrey Road,Wesley Chapel, FL 33543 Telephone Number: 813-907-8000 <br /> I hereby authorize the following individuals to act as my agent in all areas of permitting and licensing <br /> procedure with the municipality to which-this is presented. <br /> X This authorization is for sign permits at various locations and to register the contractor <br /> This authorization is for the following location: <br /> Charlie Buff <br /> Amanda Barnum <br /> Cindy Gould <br /> Edward Krauss <br /> Theresa Krauss <br /> Date LAS) Signed: � ff <br /> Contractor <br /> CONTRACTORS SIGNATURE NOTARIZED: <br /> State of Florida <br /> County of Pasco <br /> Subscribed before me on this 5th day of October , 2018 by <br /> Steve Lott who is personally known to me. <br /> Notary Signature <br /> Commission Number ,:o< YP e STE&'HANIE.ARCS <br /> C _ MY COMMISSION#FF170898 <br /> My Commission Expires: EXPIRES October 22,2018 <br /> (a 07)J11e-01 U3 Florlrlcallotcuy5erwce.com <br />
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