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96-6191
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96-6191
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Last modified
3/4/2009 2:49:00 PM
Creation date
7/19/2006 11:52:56 AM
Metadata
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Building Department
Building Department - Doc Type
Permit
Permit #
96-6191
Building Department - Name
RICHARDS,JAMES
Address
5234 VINEYARD
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<br />Consumer Energy Savers, Inc. <br /> <br />GOOD IDEAS FOR THE WAY WE LIVE TODAY . <br />12350 S. Belcher Rd. #2-B, Largo. FL 34643 State License #CCC057 196 <br /> <br />Contractor's Letter or Authorization <br /> <br />I hereby authorize the below named individual to act as my agent to obtain all necessary <br />permits for residential roofing for: <br /> <br />Owner: JAMES E. RIamRffi <br />5234 VINEYARD SIREET <br />at this location: ZEmYRHIIIS. FL. 33541 <br />Shady Rest MHP <br /> <br />This person is also empowered to obtain, complete, and sign all forms, applications, <br />registrations, and documentations, with this limited power of attorney, on behalf of me <br />that may be required to accomplish the issuance of any permits that may be required in <br />any jurisdiction throughout the State of Florida. <br /> <br />Authorized Person: RIaJARD vmEL <br /> <br />Authorized Person's Signature: <br /> <br />~ <br /> <br />J~ ^^+- <br /> <br />Owner: ,.. <br /> <br />~~ ~Krn~~.mwrr~~ <br />. . The ioregomg 1.IlStrurent was aclmowledged before lIE <br />State LIcense #CCCOS7196 tJri9{1~y.of ~et\. ,19Q(. ,by ~~ l\.C'oe\:' <br /> <br />~y P OFFICIAL NOTARY SEAL <br />:\,'" U6'<: KEVIN KRUSE <br />~'U~qr ~ COMMISSION NUMBER <br />~ ~i~ ~ CC548891 <br />"Y"... ii? d? MY C07..1MISSlt8 F.XPIRES <br />~ OF 1'-,-0' Ai-A. 2B,?CJOU <br /> <br />J4 <br /> <br />KMN~' <br /> <br />Personally Known ~ OR Produced identification <br />Type of identificatlOl1 Produced <br /> <br />-: \' ~ <br />H <br />... <br /> <br />L <br /> <br />.. <br /> <br />/1) 813-536-2274 TolfFree 800-422-2012 (l) <br /> <br />_, .'.c <br />
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