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19-20776
Zephyrhills
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2019
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19-20776
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Last modified
1/15/2020 10:12:32 AM
Creation date
1/14/2020 9:27:59 AM
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Building Department
Company Name
CROWN CASTLE GT COMPANY LLC
Building Department - Doc Type
Permit
Permit #
19-20776
Building Department - Name
CROWN CASTLE GT COMPANY LLC
Address
38522 A AVE
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NEW-TECH <br /> CONSTRUCTION, CORP. <br /> Date: 02125/2019 <br /> Municipality: City of Zephyrhills <br /> Name of license holder: Matthew John Snyder <br /> County Certificate# or State License # SCC131151517 <br /> The following person(s) are authorized to sign for permits for the above referenced license holder. <br /> All person(s) authorized to sign must produce a valid Driver's License or Government issued photo <br /> ID card and a Photo with this application. This Authorization is for All Permit Submittal and Permit Pickup. <br /> Names: Please Print Driver License <br /> Alex Van Vladnderen V514-012-91-248-0 <br /> Terri Anello A540-800-70-784-0 <br /> Trisha Purcell P624-801-81-850-0 <br /> j%cob tic,dqeS <br /> LA%ra. ctj 9-t4%6 <br /> s are Authori ion far good 12 months of dated form. <br /> of Co <br /> a ure of Contractor) <br /> Commonwealth of Florida <br /> COUNTY OF r4"204A <br /> Sworn to (ogfffirrmed)and subscribed before me this gl-, day of(�bW4!x (year), <br /> e W (name of person making statement). <br /> (Signature of Notary Public-State of Florida) <br /> (Print,Type,or Stamp <br /> VC mmissioned Name 4 Notary Public) <br /> Personally Known ✓ OR Produced Identification <br /> JAKE BROWN y <br /> R �Vi State of Florida-Notary Public <br /> 264039 <br /> a <br /> commission# GG 264039 <br /> tr <br /> My commission Expires <br /> October 01,2022J <br /> NEW-TECH CONSTRUCTION 941-485-8988 1579 BARBER RD,SARASOTA,Fl.34240 <br />
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