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07-7008
Zephyrhills
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2007
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07-7008
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Last modified
3/6/2009 4:33:15 PM
Creation date
1/15/2008 8:47:39 AM
Metadata
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
07-7008
Building Department - Name
FL HOSPITAL
Address
7050 GALL BV
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<br />(tl <br /> <br />GULFCOAST FIRE & SAFETY CO., INC. <br /> <br />P.O. Drawer 3190, Brandon, FL 33509-3190, Telephone 813-671-3733, Fax 813-671-3827 <br />A <br /> <br />ciNrA\. <br /> <br /> <br />'---= ~ -.-.,-=! <br /> <br />COMPANY <br /> <br />SPECIFIC POWER OF ATTORNEY <br /> <br />I, Robert L Burch of, Riverview, Florida, the undersigned, hereby grant a limited and specific power of attorney to: <br />Theresa Sauerwine, FI Drivers License Number S650-813-70-784-0, of Oldsmar, Florida as my attorney-in-fact for the <br />limited purposes specified herein below: <br /> <br />The attorney-in-fact shall have full power and authority to undertake and perform only the following acts on my behalf: <br />Apply for permits, Sign all permit applications, pick up permits, register contractors licenses and Sign all forms <br />necessary for obtaining a permit and/or registering contractor's licenses for Gulfcoast Fire & Safety. Contractors <br />License #: 41093100021989 (exp. 12/31/2007) to include such incidental acts as may be required to carry out and <br />perform the specific authority granted hereinabove. <br /> <br />This power of attorney is effective upon execution. This authorization may be revoked at any time, and shall <br />automatically be revoked upon my death, provided any City of Zephyrhills Building Department employee may accept <br />and rely upon same until receiving written notice of revocation hereof. <br /> <br />Signed this 5th day of September, 2007 <br />STATE OF FLORIDA ~ <br />COUNTYOFHILLSBOROUGH ,-~' ---~ <br />SIC:; Ht:. OF LICENSE HOLDER (R6bert L Burch) <br />Sworn to and subscribed before me this 5th day of September 2007. <br /> <br />Type of J.D. <br /> <br />Sl~ i^- ~. t1A- ~~-y '---- <br />NOTARY PUBLIC, S te ot Florida <br />My Commission Exp: sid "11 0 ~ <br /> <br />-LPersonally Known to me or <br />_Produced as Identification <br /> <br />Witness: <br /> <br />....~~~~..~::l', SHANNON LYNN <br />~~o . ~',. <~<." Notary Public - State of Florida <br />~. : : . EMyCanmissbnE>q::ies Ma(29 2m3 <br />':o1Jl .. . ~.. I <br /><'';:'''OF,,~o,.$" Commission # DD300955 <br />'''"'',,, Bonded by National Notary Assn. <br /> <br />Witness: <br />
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