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<br />10/17/:~007 15:21 FAX 7278631168 <br /> <br />GREG HEHRY IHC <br /> <br />III 002/007 <br />.' ..J:,~ __.... <br /> <br />Oct 1~2007 lO:lSAM American Hurricane Specia 3525922009 <br /> <br />OC1~15/2CJ7!rUE 10.02 AM ZEPHYRHILLS BUILDING <br /> <br />F~X Nc 813-78D-0021 <br /> <br />p, 00 1/0 C) <br /> <br />_ -r~ . <br />35a 59 a ~(?)09 <br /> <br />. r. ,\!~~"'l.~ f-J / ' <br /> <br />,~~. . c ---~ -(......~:' <br />.r,-;',',' '". , <br />r:,,''''; I ,--" _.n '",(J1:\ <br />~L . \'~".\ <br />1'\7<' ' - 'I ~ <br />-"]\ <br />:..-_' ~ <br />~ <br />~- -~' <br />r.) , ~-- ,.... <br />_ I fJllF\' <br /> <br />City ,of Zepbyrhills <br />:"CO)\,TRA'CT~R:'CERTIFICATE Requirements <br /> <br />.in order to. be listed -in our systeD1 we wiU'need 'the bclt)w infomllltiOI1: <br /> <br />~ Stat; Certified Lice11Se, ,OR'. '. . .' ". , <br />'-21 . State llopstered,Liccnse with COUllty Comp~tcncy , ' <br />, a:y- B'usme&s TB."< Reoeipt (formc:dy known as'~'Oe~:pa.tional Lioense' ) <br /><4) Worker's CompCD.Sation ' .' ' <br />5) Geoe:ralLiabilitY,with the, City of ZepbY:tbille as ee:rtlftcate holde , <br />6) Fictitious N~e (unless. the business is ,LLC, .DBA.~ lAc) , , <br />~?:). . Authorization Letter OIl'YOur business stlltiODcry/notarized, listing these <br />wbo are authoriZed to si'gnlpickup pmnits, , ' <br />~ $30,00 c:hlU'ge (not 3:pplicllble for Stale Ccrtined or R.egi~c:;red' Li <br /> <br />If you ar~ ~ State Certified. or State RegistcredJ you will. only need to S"upply.it <br /> <br /> <br />:;.8, <br /> <br />Your documentation con be faxed to 813.-180-0021 but wowC!.D91 become valid. <br />'the above reqWromCDt$ ar~ m.et, <br /> <br />"'Ce:rt:ificate Bolder Wonilaticn <br />City, of Zeph'yr.bills -.Building Dept <br />5335 81A Street, <br />.Zephyrb1lls. FL 33542 <br /> <br />Phone: <br /> <br />g13~780.00Z0 <br /> <br />,- <br /> <br />" <br />