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21-1348
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21-1348
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Last modified
5/6/2022 1:47:21 PM
Creation date
5/6/2022 1:47:20 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
21-1348
Building Department - Name
STEBBINS,MADALEINE
Address
5051 5TH ST
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IfINC. <br /> Air Conditioning Et Heati • <br /> _ _ <br /> PH.(727)842-2247 F(:727)842-2245 <br /> 8009 Applesix Drive <br /> Port Richey- FL:34668 <br /> www.balancedair.com., <br /> January. 8- 2021 <br /> Contractor Authorization <br /> The.following are-authorized signers to record-license,sign.for; and-obtain permits for.license <br /> 'CAC039633'.forlicense holder Gary:L.Shari-of 9204=Bearcat Rd; New Port Richey, FL 34655 <br /> and Balanced Air; Inc at 8009 Applesix,Dr, Port Richey; FL.34668.., . <br /> - <br /> Person: Ben Shari.: : . . <br /> :Person-..Jared Shari <br /> Person:- Naomi Shari.. . : <br /> Person: Sharma Wright <br /> License Holder: i - . License Holder-Signature: - <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO, <br /> Sworn fo.(or affirmed)and subscribed before me this _day of: ,20 Z� . <br /> . . . <br /> Signature.o Not Public . <br /> Printed*Name.ofNotary.,Public L. (NOTARY SEAL) <br /> Personally:Known: .OR Produced Identification: `fir Sharma C Wright <br /> Type:of Identification Produced- <br /> NOTARY PUBLIC.: . <br /> =STATE OF FLORIDA <br /> 0/2 <br /> a Comm#GG312762 <br /> � � Ep' s4 02: . : <br />
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