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18-20169
Zephyrhills
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2018
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18-20169
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Last modified
1/13/2020 1:30:34 PM
Creation date
1/13/2020 1:30:34 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
18-20169
Building Department - Name
IGLESIA DE DIOS
Address
39440 LINCOLN AVE
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Prestige Construction Group SFL LLC. <br /> 9106 A sw 2,2 st Boca Raton FL. 33428 <br /> 561 317 2909 pcgsfl@gmail.com <br /> Authorization to pick up permits <br /> Date: <br /> Name of Vualifi r: <br /> Qualifier Company Name: - <br /> Company address: C/(,d(� �Gc] 22 S—t &:G� <br /> Telephone number: 15"& / 2—1D 1 <br /> The following individual: M 146W e- b�fttUvtlp Jfrom the above firm are authorized to pick up <br /> and expedite per its and related matters for Prestige Construction Group of SF, LLC in the city of: <br /> Authorization for the above individuals will remain in effect until final inspection is completed or <br /> another notification from this company is provided to the city. <br /> I am aware that if any changes are made by the company regarding the above information,it is my <br /> responsibility to notify the city' building department. <br /> Signature of Qualifier <br /> State of Florida County of: <br /> Sworn to and subscribed before me this��day of 20� by �G�E <br /> (Name of Person) <br /> fo <br /> Who is personally known to me or has produced as identification. <br /> rr —-A 4- (Type of Identification) <br /> Notary ublic 6griaturd <br /> ,•�; �pum•.,, ROBERT L LAGRANGE <br /> (Oat s NQlary Public-State of Florida <br /> �eodommisslon�FF 202331 <br /> Printed Name of Notary 0��1°p,°�� My Comm.Expires Feb 23.2019 i <br /> Bondedthrough National Notary nssr �� <br />
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