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18-20169
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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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Presage Construction Group S L LLC. <br /> 9106 A sw 22 st Boca Raton FL.33AZg <br /> 561317 29OR pcgsfi@gmaii.com <br /> Authorization to sign errrtits <br /> Date: <br /> �' <br /> Name of Qualifier. Ij t0 �.-- <br /> Qtiali ter Company Name: <br /> Company address: <br /> Telephone number: <br /> The following individual_i l q # ?l11 .7r 9- i � . from the above firm are authorized <br /> to sing,pickup and expedite permits and related matters for Prestige Construction Group of SF,LLC in <br /> the city Of: ff / <br /> i'11�.{ [t Of Atli r � <br /> Authorization for the above individuals will remain.in effect until further notification from this company <br /> is provided to the city. <br /> l am aware that if any changes are made by the company regarding the abooe information,it is my <br /> responsibility to notify the city's building department.. <br /> Signature of Qualifier <br /> f Florida Countyof: <br /> State o . <br /> Sworn to and subscribed before me this day of 2ti ,by o <br /> Blame of Pecs <br /> i flnl <br /> Who is' fy known tom r has produced .-�,--;. � � / �lL&-- as identification. . <br /> t <br /> (Type of tdentif�on) <br /> Kota Pit ,rc Signa re. , R tGRANGE <br /> Mf (ili. <br /> , <br /> rt Notat Public-State of F Ids <br /> 14 <br /> .>. My Comm,Expires lb 23,2019 <br /> Printed blame of Not ry •,��f.�,, <br /> ",•a • Baiidedthragtit'i loruyw*Assn. <br /> Scanned with CamScanner <br />
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