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19-21108
Zephyrhills
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2019
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19-21108
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Last modified
1/7/2020 11:02:09 AM
Creation date
1/7/2020 11:02:08 AM
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Building Department
Company Name
MOORES FIRST ADDITION
Building Department - Doc Type
Permit
Permit #
19-21108
Building Department - Name
HAZELWOOD,STEVEN & KATHY
Address
4835 5TH ST
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.`r <br /> FLORIDA DELTA MECHANICAL <br /> 8402 LAUREL FAIR CIRCLE,TAMPA, FL: 33610 <br /> PERMIT DEPT. 866-219-0880 TOLL FREE 866-219-0729 FAX <br /> 'Contractor's Authorized Signature Form <br /> By:Qualifier: Dimitre Bobev <br /> License Information: Number: CFC1425917 <br /> Limited Power Of Attorney from Contractor <br /> Be it known;that I Dimitre Bobev the contractor above, have made and appointed, and by these <br /> presents do make and appoint as agent Thomas Knapp to be true and lawful attorney for me and in my <br /> name, place, and stead,of:the sole specific and limited-purposes to execute any and all documents: <br /> pertaining to building permits issued and/or inspections performed by The City of Zephyrhills Planning, <br /> Zoning.and, Building Department as I,the undersigned, might or could do if personally present. The., <br /> authority of the.person appointed-as me attorney and agent to exercise the.powers granted herein-shall <br /> commence on the date set below and shall remain in full force and effect until the license expiration date. <br /> note below, or death or specific written rescission by either party. I understand that, by signing this <br /> instrument, I am_authoring The City of Zephyrhills Planning,Zoning,:and Building Department to issue <br /> permits based on the signature of my above-named attorney and agent. I further Understand that I am <br /> fully responsible and legally bound-for all acts performed under my license number, including those of <br /> the agent. <br /> In witness whereof, I have hereunto set my hand and seal this. day of f 4 I 20 <br /> Signed.sealed and delivered in the presence of: <br /> Signature of Qualifier <br /> State of Florida <br /> County of Hillsborough g <br /> The foregoing instrument was acknowledged by me this . .�5 day of 1 20 Gl by:Dimitre Bobev who is <br /> personally known by me or who has produced as identification and who did/did not take an oath.* <br /> 1 =�4�'• ESPfffD3V6% <br /> M01 <br /> s <br /> _. W COMMISSION#GEXPIRES:Apn19.Notary Public �No��U <br />
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