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08-7985
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08-7985
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Last modified
3/6/2009 4:44:56 PM
Creation date
8/26/2008 2:27:39 PM
Metadata
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
08-7985
Building Department - Name
CITY OF Z-HILLS
Address
6118 8TH STREET
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<br />Gu1fC~F(,y(!/Cr S~y Co:, IV\O. <br /> <br />9203-D King Palm Drive <br />Tampa,FL 33619 <br />Phone: 813-621-6094 <br />Fax: 813-628-4661 <br /> <br />SPECIFIC POWER OF ATTORNEY <br /> <br />I, Robert Burch, of Tampa, Florida, the undersigned, hereby grant a limited and specific <br />power of attorney to the following as my attorney-in-fact for the limited purposes <br />specified herein below: <br /> <br />Theresa Sauerwine <br />Troy Nelson <br />Leo De La Garza <br />Jasen Buddemeier <br /> <br />I\Ailn~ C...r,./.."II <br />IV"""'" ""'QI'-'lI'-'1I <br /> <br />The attorneys-in-fact shall have full power and authority to undertake and perform only <br />the following acts on my behalf: Apply for permits, sign all permit applications, pick up <br />permits, register contractors licenses and sign aii forms necessary for obtaining a permit <br />and/or registering contractor's licenses for Cintas Fire Protection. Contractors License #: <br />EF2000386 (exp. 08/31/2008) to include such incidental acts as may be required to carry <br />out and perform the specific authority granted hereinabove. <br /> <br />This power of attorney is effective upon execution. This authorization may be revoked at <br />any time, and shall automatically be revoked upon my death, provided any City of <br />Zephyrhills employee may accept and rely upon same until receiving written notice of <br />revocation hereof. <br /> <br />Signed this 6th day of June, 2008 ~/. "/ 0"- <br />STATE OF FLORIDA ~.# _ <br />COUNTY OF HILLSBOROUGH <br />SIGNATURE OF LICENSE HOLDER <br />Sworn to and subscribed before me this 6th day of June 2008. <br /> <br />-LPersonally Known to me or \... ~--' ~ <br />_Produced as Identification ARY PUBLIC. State of Florida <br />y Commission Exp: --/ 75~ 7 <br /> <br />--' <br /> <br />Type of 1.0. <br /> <br />~~ JEAN K PERRI <br />~ MY COMMISSION # DD409189 <br />~ EXPIRES:April15,2009 <br />.4JOO.3-NOTARY Fl. ~ DiIoounl Aaoc. Co. <br />
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