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07-7156
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2007
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07-7156
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Last modified
3/6/2009 4:32:37 PM
Creation date
1/17/2008 8:45:51 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
07-7156
Building Department - Name
SEIS,JEROME
Address
37420 DERBYSHIRE DR
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<br />,JURfSDICTION;OF YOUR"CHOICE. <br />-BUll.iD~G.J)EPARTMENT <br />RE: Permit # f} (V)( (J 9/17/07 <br />Inspection AffidaVit. <br /> <br />J .~ ft SON ~ rJ gl1 /NIfJtlensedas a(n) Contractor* !EngineeriArchitect, <br />(pI_vtmtname ncircl' Ii~ 1;)9; 1-(5 .FS 468 Building Inspector* <br />License #; t. '!L- tJ . <br />On or' about S;J ~v 01 <br />(Date & time) <br /> <br /> <br />STATE OF FLORIDA <br />COUNTY OF ~~ ~ <br />Sworn to and subscribed before me this 5: . Clay of I~ <br /> <br />.200ir- <br /> <br />By <br /> <br /> <br />~~ <br />, Notary Public, State of Florida <br />~/;Y14 ()~J:f~ <br />(Pririt, type or stamp name) <br />commissionNo.:~ <br /> <br />Personally known.-L or <br />Produced Identification <br />Type of identification produced. <br /> <br />iV/A- <br />. <br /> <br />~ Gen~, Building, Residential, or Roofing ContIactor ~r any individual certified under 468 F.S. to make such an <br />mspection. Include photographs of each plane of the roofwith the pemrit # or address # clearly shown marked on the <br />deck for each inspection. - <br /> <br />~~""^.lio MelindaA. Cheatham <br />~U'; My~exp.June19,2010 <br />",.# A~ Cornmissidl No. DDS65734 <br />~ IIF t~.. <br />
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