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05-4728
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2005
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05-4728
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Last modified
3/6/2009 3:42:22 PM
Creation date
3/28/2007 11:15:33 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
05-4728
Building Department - Name
DHIMANT,SHAN
Address
5855 GALL BV
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<br />A & M Electric <br /> <br />1147 E Heartwood Drive <br />DeLand, FL 32720 <br />(386) 734-4864 Fax: (386) 736-7096 <br /> <br />State Certified <br />ECOOO2815 <br /> <br />PERMIT AUTHORIZATION <br /> <br />I, John W. Matthews hereby authorize Michael Seaman to obtain an <br />Electrical permit in my behalf under my License # EC0002815 for the <br />job described below: <br /> <br />DESCRIPTION: <br /> <br />Owner: <br /> <br />GALL BLVD REAL ESTATE, INC. <br /> <br />Site Address: 5855 GALL BLVD <br />ZEPHYRHILLS, FL <br /> <br />Parcel # 11- 26- 21-0010-00900-0190 <br /> <br />~~~~ <br />( License Holder Signature) <br /> <br />Date: c- Z 7- O~ <br /> <br />State of Florida County of V olusia. <br />Affirmed and subscribed before me this 27th day of June, 2005 <br />By John W. Matthews, Jr., who is personally known to me. <br /> <br /> <br />~Publie Date: h-l.7-0S <br />State of Florida <br /> <br />MICHAEL L. SAXTON <br />Notary PubNc, State of Florida <br />My Corrim. Expires March 31, 20.)9 <br />No.bD413670 <br />
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