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00-9518
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00-9518
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Last modified
11/29/2006 7:15:16 AM
Creation date
9/14/2006 11:52:00 AM
Metadata
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
00-9518
Building Department - Name
FL MED CLINIC
Address
38107 MARKET SQ
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<br />HINSON <br />BUILDING <br />CORPORATION <br /> <br />5435 9th Street North <br />St. Petersburg, FL 33703 <br /> <br />Phone (727) 528-0181 <br />Fax (727) 528-4454 <br />CGC044505 <br /> <br />City of Zephyrhills <br />Building Department <br />5335 8th Street <br />Zephyrhills, Florida 33540 <br /> <br />RE: AUTHORIZATION LETTER <br /> <br />To Whom it May Concern: <br /> <br />I, John Wallace, contractor license number CGC044505, hereby authorize the following to act as <br />my agent in obtaining permits in Pasco County, and City of Zephyrhills: <br /> <br />Timothy A. Bell <br />Agent's Name <br /> <br />FL B400-80 1-69-044-0 <br />Driver License Number <br />424-15-5090 SS# <br /> <br />This authorization is to remain in effect indefinitely, unless canceled by me in writing, <br /> <br />~/Jb- <br /> <br />J hn L. Wallace, President/C.O.O. <br /> <br />Sworn to and subscribed to before me this ~ Day of June. 2000 by John L. 'Wallace, who is <br />personally known to me and who did not take an oath. /" <br />v" <br /> <br /> <br />My Commission Expires: <br /> <br />/;)..- J.,O - ()~ <br /> <br />..\~","l'" Lisa Gave Biglin <br />~~~~ Commission #. CC 789147 <br />g.l' A').~ Expires DEe. 20.2002 <br />~~\~!-~g BONDED THRU <br />'-," c.if\\.~'" ATLANTIC BONDING co" INC, <br />I",!",\. <br />
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