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96-5966
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1996
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96-5966
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Last modified
3/4/2009 2:50:26 PM
Creation date
7/19/2006 6:55:41 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
96-5966
Building Department - Name
RIDGE BUILDERS
Address
39449 LINCLON AV
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<br />POWER OF ATl'ORNEY AND AUTHORIZATION TO . <br />DRAW CONSTRUCTION PERMITS <br /> <br />FROM: Ridge Builders, Inc. <br /> <br />707 Jones Avenue <br /> <br />(1) Name of Contractor <br />(2) Class of Registration <br />(3) County Registration Number <br />(4) Name of Individual who will <br />sign permit application <br /> <br />Haines City, FL 33844 <br /> <br />TO: City of Zephvrhills <br />5335 Eighth Street <br /> <br />Zpphyrhi11~, R1. ~~S40 <br /> <br />DATE 6-25-96 <br /> <br />(1) <br /> <br />H;:u:>rhl'>rt- W KI'>Y <br /> <br />, the holder of Polk County (2) Class B <br /> <br />contractor license registration number (3) CBC048975 <br /> <br />, hereby name, constitute <br /> <br />and appoint (4) Terry Dease <br /> <br />, my attor.ney-in-fact for <br /> <br />the purpose of applying for and rece1v1ng permits in my name. I hereby represent and <br />City of <br />warrant 'Zl'>phyrhi 11 ~that all work performed under the authorityof such permits shall <br />be performed by me or under my supervision, and that I shall be fully responsible for <br /> <br />the proper performance of said work. <br /> <br />(Check one of the following) <br /> <br />~ This ~wer of attorney and authorization to draw permits is limited to the job <br />descr1bed as Lot 35 Lincoln Ave. , Zephyrhi11s, Fl. 33540 <br />(type of construction project and specific location) <br /> <br />This power <br /> <br />of attorney and authorization to draw permits shall expire on <br />(date of expiration) <br />of atorney and authorization to draw permi~9 shall continue f 11 force <br />until I deliver to you a letter revoking trye pow . <br /> <br />/1 I <br />l>'" I JI() <br /> <br /> <br />Signa <br /> <br />This power <br />and effect <br /> <br /> <br />Signature of designated attorney-in-fact <br />941 <br />707 Jones Ave, Haines City, Fl. 33844 422-8240 <br />Current Address Area Code Tele. No. <br /> <br />STATE OF FLORIDA <br />COUNTY OF POLK <br /> <br />Subscribed and sworn to before me this <br /> <br />NorARY PUBLICYi/ .~~~ <br />J3"<-II>"~ -go- IV A 1-.) <br />My Coomission Expires 1fC/-.:J4 -? r <br /> <br />?r:;t-h <br /> <br />day of <br /> <br />.TnnQ <br /> <br />, 1996 . <br /> <br />(NorARY SEAL) <br /> <br />BARBARA B. MAIN <br />Notary Public, State ot Florida <br />My comm. expIres April 24, 199a <br />Comm. No. CC 366750 <br />
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