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<br />PERMIT AUTHORIZATION <br /> <br />I, \Ja.. 'V ~ ~~~ hereby authorize <br />' (Uce_ Holder-WInJe Prlat) <br />Dave Rayla of Heartland Ind. to obtain a permit in my behalf under my license <br /># CRC056921 for the job described below. <br /> <br />TYPE OF PERMIT <br />Building ~ <br /> <br />DESCRIPTION <br />Owner: ~(..~~<"\ot~\>~~(' <br />9::;L) ~~'fO~ 't'h~\\ t){ I <br />L<<-~hjrh\b I fL. 33'312- <br />Tax Parcel # -' L :z.h .. zj .b \bf::>. OQ.(Y>l:,. ~ \ 1 D <br /> <br />Site Address: <br /> <br />Electrical <br /> <br />Plumbing <br /> <br />HVAC <br /> <br />Roofing <br /> <br />Pool <br /> <br />;J;~c!J?fg# ~ <br /> <br />Date:- 7/7-7/f>~ '- / <br /> <br />Other <br /> <br />State of Florida County: <br /> <br />~\ ~~\\oS <br /> <br />is .n. day of ~J cb <br />or who has produced <br /> <br />by David <br /> <br /> <br />.. j-rlat T)'~ of StJI~p Nlmc or NotJIry <br /> <br />"'~~~~~." RICHARD E. GROSSE <br />: ~.~\ NOTARY PUBLIC - STATE OF FLORIO.t <br />: : COMMISSION # 00378645 <br />~ >>- <br />..~'to",ot>~.. EXPIRES 12/12/2008 <br />....... BONDED THRU 1~8-NOTARY1 <br />