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19-21697
Zephyrhills
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2019
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19-21697
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Last modified
4/15/2020 2:10:23 PM
Creation date
4/15/2020 2:10:20 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
19-21697
Building Department - Name
MORTUME,WANTA 7 MYRBEL HYLUSTRAI
Address
38452 12TH AVE
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, <br /> August 30,2019 <br /> To:Zephyrhillsp <br /> IS 2-6CAI L , license holder for /'� V`- - <br /> 05,1 authorize the following people to apply/sign for permits under my <br /> license number ( 1 ,12y 15 <br /> Please allow ONLY the person(s) listed below to sign. This letter supersedes all others. <br /> Kellie Quevedo Leffy Vargas-Jimenez <br /> Peggy Gann Brandy Conley <br /> Loa) S ZrA cu�-- <br /> Contractor's Signature Contractor's Printed Name <br /> STATE OF FLORIDA <br /> COUNTY OF <br /> The foregoing instrument was acknowledged before me this 3b day of , by <br /> annis ( u-k Who is Personally Known XOR Produced Identification_Type of <br /> Identification Produce <br /> 'k elfie_QUevedo <br /> �,��; , ;�=tAMIrIISSION�QG274434 <br /> EXPIRES: Nov. 5, 2022 <br /> - c: <br /> (Print,Type, or Stamp Commissioned Name of Notary Publicl (Siona ure of Notary Public <br /> Any questions please email LvargasiimenezPars.com or direct phone number 727-497-4973. <br /> dRC/Roer„o Rnntar <br />
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