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20-579
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2020
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20-579
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Last modified
3/4/2022 8:57:09 AM
Creation date
3/4/2022 8:57:09 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
20-579
Building Department - Name
CRUZ,DAVID SANTA
Address
38920 5TH AVE
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a <br /> DUNPZDIN 141 COMMUNITY DEVELOPMENT <br /> 5 PINEHURST ROAD, UNIT,F <br /> DUNEDIN, FL 34698 <br /> Home of Honeymoon Island 727.298.3210 <br /> CONTRACTOR'S LETTER OF AUTHORIZATION <br /> I, the undersigned do hereby authorize the following individual(s) to act as my agent(s) <br /> in obtaining permits in.the City of Dunedin, Florida. <br /> (Please type or print clearly) <br /> Eric Campbell <br /> NOTE: This letter of authorization must contain only the people you want to pull permits <br /> in your name. To make changes, you must submit a new letter of authorization. <br /> This authorization shall remain in effect unless cancelled in writing by the.undersigned. <br /> Luis Garcell Mr. Electric of Lutz <br /> Contractors Na e- Company Name <br /> EC13008619 <br /> t or's Sig ture License Number <br /> STATE OF FLORIDA <br /> COUNTY OF PINELLAS <br /> The instrument was acknowledged before me on this � day of ;. <br /> by Lk�k <br /> Personally Known <br /> (' Produced Identification: <br /> NOTARY PUBLIC <br /> My.commission expires: <br /> 00. Notary Pume state of Florida <br /> Hilda 8ettran <br /> My COIAM19aton GG 916949 <br /> Revised 4/8/2020 N �O' .sxpirel091:•B/2i023 <br />
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