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19-20681
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2019
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19-20681
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Last modified
1/14/2020 8:28:46 AM
Creation date
1/14/2020 6:54:35 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
19-20681
Building Department - Name
SWANK,MARLENE JOYCE
Address
37811 14TH AVE
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8248 Parkline Boulevard,Suite 100 <br /> momentum <br /> SOLAR <br /> Orlando,FL 32809 . <br /> Phone: 732.902:6223 <br /> DATE:- t <br /> I hereby name and appoint1. . 16 <br /> of Momentum Solar to,be my lawful attorney-in-fact to act for me,:and-apply to the Division of <br /> Building_Safetyy for a BuildingLElectrical(PHOTO VOLTAIC SOLAR PANELS).permit.ONLY(NOC <br /> and.Permit.Application) for work to be performed at a location described as: <br /> Owner of Property: <br /> Project.Address: <br /> and to sign:my name and do all things necessary to this appointment. <br /> Cameron Christensen <br /> (Contractor Name)(Type or Print) (Contractor Signature) <br /> CVC57036 <br /> (Contractor's License Number) <br /> The foregoing,instrument was acknowledged before me this 1 day of �n U of 20�; . <br /> by <br /> who is.personally known to me or who produced as identification and who <br /> did no a an oa <br /> Notay Public(Print Name) ' Seal <br /> OZpRVq Aimee McGurr <br /> aQ o�NOTARY PUBLIC <br /> Notary Public(Signature) o '--'STATE OF FLORIDA <br /> 2 Comm#GG200147 <br /> s�'1`CE 19�0 Expires.10/2312021. <br />
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