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17-18702
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2017
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17-18702
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Last modified
9/19/2019 8:07:10 AM
Creation date
9/18/2019 8:26:42 AM
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Building Department
Company Name
ADVENTIST HELATH SYSTEM
Building Department - Doc Type
Permit
Permit #
17-18702
Building Department - Name
ADVENTIST HEALTH SYSTEM
Address
7350 DAIRY RD
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Siemens Industry, Inc. <br /> Building Technologies Division <br /> 8010 Woodland Center Blvd., Suite 1800 <br /> Tampa, FL 33614 <br /> 813-261-8700 fax 813-890-8055 <br /> SPECIFIC POWER OF ATTORNEY <br /> I, Jeremy Joel Lembo. of, Longboat Key, Florida, the undersigned, hereby grant a limited and specific <br /> power of attorney to: <br /> Rosemary Plourde, Stephen Dion, and Larry Caseber, as my attorney-in-fact for the limited purposes <br /> specified herein below: <br /> The attorney-in-fact shall have full power and authority to undertake and perform only the following acts <br /> on my behalf: Apply for permits, Sign all permit applications, Pick up permits, Register contractors <br /> licenses and Sign all forms necessary for obtaining a permit and/or registering contractors' licenses for <br /> Siemens Industries, Inc. I understand that I am responsible for any work performed by my agent. <br /> Alarm System Contractor I, License #: EF-20001115 (exp. 8/31/2018) and Contractor III, License #: <br /> 192121-0001-2010 (exp. 6/30/2018) to include such incidental acts as may be required to carry out and <br /> perform the specific authority granted hereinabove. <br /> This power of attorney is effective upon execution, June 27th, 2017 and shall expire on June 27, 2018. <br /> This authorization may be revoked at any time, and shall automatically be revoked upon my death, <br /> provided any city or county employee may accept and rely upon same until receiving written notice of <br /> revocation hereof. <br /> STATE OF FLORIDA <br /> COUNTY OF ORANGE <br /> Sworn to (or affirmed) and subscribed before me this 2=SIOFf-LICENSE <br /> , ere Joel Lembo). <br /> =N0" Pm'* <br /> State 0 Ftorulanzion FF a 012 . HOLDER <br /> ✓r Personally Known to me or <br /> Produced as Identification NOTAR11PUBLIC, t to of Florida <br /> Type of I.D. My Corn' <br /> om ission E p: Ill liq loicl <br /> Witness: ` Witness: <br /> Notary Public State of FWda <br /> . Mama Kranz <br /> ' ar w My Commission FF 937396 <br /> Expires 11118=19 <br /> Confidential Page 1 6/27/2017 <br />
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