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08-6951
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08-6951
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Last modified
3/6/2009 4:49:04 PM
Creation date
5/6/2008 9:47:05 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
08-6951
Building Department - Name
PEEPLES FAMILY CORP.
Address
5217 GALL BV
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<br />DIE"I=<{f}> 1--.1 <br /> <br />SECURITY SERVICES CORP. <br /> <br />, <br /> <br />LEITER OF AUTHORIZATION <br />FOR THE CITY OF ZEPHERHlLLS , FL <br /> <br />I, David T Phillips. licensed qualifier for Devcon Security Services Corp. do certify that the below referenced <br />person(s) listed on this form is/are employed by me directly or through an employee leasing arrangement; or, <br />is an officer of the corporation; or, partner as defined in Florida Statutes Chapter 468, and the said person(s) <br />is/are under my direct supervision and control and is/are authorized to purchase permits, call for inspections, <br />and sign on my behalf. <br /> <br />Printffype Name of Person Authorized <br /> <br />Authorized Person's Signature <br /> <br />p!:lt.-i""ia Clu. y '-".:> <br /> <br />Paul Lopezs <br />Dean Allen <br /> <br /> <br />Leo Then <br /> <br /> <br />Jim Wiseman <br /> <br />Tom Sinclare <br /> <br />I, the license holder, realize that I am responsible for all permits purchased, and all work done under <br />my license and fully responsible for compliance with aU Florida Statutes, Cod~ and Local <br />Ordinances. <br /> <br />~07 <br /> <br />~r/~ <br /> <br />LICENSE HOWE~ ;IGNA . - -- <br /> <br />EF20000338 <br />STATE LIC. NO. <br /> <br />If at any time the person(s) you have authorized is/are no longer emplovee(s). or officer(s). you must notifY <br />this department in writing of the changes and submit a new letter of authorization form which will suoersede <br />all previous lists. <br /> <br />NOTARY INFORMATION: <br /> <br />STATEOF:t=\oQ..\d C-c- CA.UNTYOF:~(.~ <br />The above license holder, whose name is \ Vi' ' --t\\ .-\ \ \ . <br />before me and is known by ~or has produced identification ( <br />on this ';1.2> day of \ '-r" ' 20~. <br /> <br /> <br />personally appeared <br />\-C~(, <br /> <br />~-~oJ)/ <br />OTARY'S IG ATURE <br /> <br />d" I / 7 M 0(()07 <br />MY CO~SSION EXPIRES / el: . <br />~\""I,,1. Tim Lee M :vm. <br />:!>~~''- ., "'"D- <br />$..... ~'~"a OY'"mlC~.". 'UIiNfIoN <br />:: . . .' =~: Seo. 17, ?JJ1I <br />~ .n $ AarOD ftotaIJ <br />3880 NORTH 28TH TERRACE' HOLLYWOOD, FLORIDA 330~,,~,,\,~ 1-800-350-5161 <br />PHONE: 954-926-5200 . TOLL FREE: 800-~09-4911 . FAX: 954-926-1809 . E-MAIL: Info@devcon-securily.com . EF20000338 <br />
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