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05-4119
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05-4119
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Last modified
3/6/2009 3:45:11 PM
Creation date
3/6/2007 10:44:27 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
05-4119
Building Department - Name
COUPAS,DOROTHY
Address
38345 IRONWOOD PL
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<br />LaWE.S <br /> <br />COm...n'" Inc. <br />8529 South Park Cr. <br />Suite 430 <br />Orlando, Florida 32819 <br />Bus. 407/370-2872 <br />Fax. 407/352-6309 <br /> <br />Date: <br /> <br />t/I ~~ ~ <br /> <br />To: City of Zephyrhills Building Department <br />5335 8th Street <br />Zephyrhills, Florida 33542 <br /> <br />From: Rebeca Alicia Banuelos-Bernard <br /> <br />1 hereby authorize the following individual, Michael L. Berkman, to act as my agent to apply for, sign for and pick up permits <br />under my State Certified Residential Contractor's License, CRC 057468. <br /> <br />Homeowner Name: <br /> <br />&(jl'~ Pcytft/..tr <br />3=~S /~fl#Y It- <br />~ ;/v,J!p-. <br />f2~ 7fV~ <br /> <br />Address of Job: <br /> <br />City: <br /> <br />Type of Work: <br /> <br />Thank you for your assistance. <br /> <br />Sincerely, <br /> <br />~J <br /> <br />, Rebeca Alicia Banue os-Bernard <br />Regional Installed Sales Manager <br />Primary State Qualifier CRC 057468 <br /> <br /> <br /> <br />~!!['lr~~.2~ <br /> <br />No.public <br />My commission expires <br /> <br />......~~~~:f~;:';.. Rebecca Velez <br />!*~" 'fie .~;~ MY COMMISSION # 00176963 EXPIRES <br />~i;,~?";."f January 12,2007 <br />~'{/9.f:lf~~~'"' BONDED THRU TROY FAIN iNSURANCE, INC <br />
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