Laserfiche WebLink
<br />06/30/2008 15:31 FAX <br /> <br />~001/001 <br /> <br />. 780 ... oo.~, ' <br /> <br />" . <br /> <br />.JlJR!f8DICnON-OFVoiJRCHOlCE . <br />. '.:BUflJDING'qi)E:P.:AR:rMENT <br />. , . <br /> <br /> <br />'.1m:Jiemdt# A'oj~' <br /> <br />. I . <br /> <br />9/17107 <br /> <br />~. <br /> <br />~ection .A:fIldaVit . . <br /> <br />. . <br /> <br />,1 ' kc..v; '\>.. -I "-~ <br /> <br />(p1l111&epr:blt%lmle lID4 cime Lie. Type) <br /> <br />,1iCcDscttss a(11.) ~ IBngjn8eI'i~ <br />. I 'FS ~68 BuilPing lDsp~ <br /> <br />License#.; r (L \U"l'~<' ' <br /> <br />. . . <br /> <br />On or'aboDt~"""'~ I C/: 00 af.-.,' J i did ~~ ...of <br />. . 1iltim8)' ! " <br />~mu1Iar ~ ~ _~..".,j. Jt. 3./~Oll" ~..r( LJ>, <br />~ (circle aM) , , .: (Job S=.Addnu): - <br />~.Ph~~:'~'l ~ ~L\).., .: <br /> <br />. . I . <br /> <br />Based upon tbat ~'""mationI lutve ~.thc installation was domJ according to the <br />4_~~Ma/W.cs.-rmS53.844F.S.). . . <br /> <br />Sigoature <br /> <br />. ' <br /> <br />STATE OF FLORIDA <br />coUNTY OF' <br />~_D1OlIli'~ ~ .of ~ <br />B .... <br />. ' <br />,. ' <br />. I No1ary Public, 81m of Florida <br /> <br />,200d. <br /> <br /> <br />, .~ NoD'Y PutIIIC s_ of FIolidl <br />I~I~ Cl't",UIIl flY""" ' ' <br />. ; My comcnls8lcl1t 0D7S1111D <br />'o.~ ElqllIeI 0112M2D12 <br /> <br /> <br />I r-.-l... ~-'~..\ \~ ~,,+-t"--.. <br />, (Print, tjpc or stamp %1IlDUl) ~ <br /> <br />CCJtIIUri"',trm No.: <br /> <br />pcrsODBlly knownK-' or <br />:Produced Idcati:B.cati.on <br />Type ofi~tm1i1icatian ~t".ed. <br /> <br />7 ~ llu.ildmI.1WlcImti8L or llclcdi:aC' CaJDu:rar ~ Iq' ~"-ad 'GIIIISc 468 It.S. till ".D-=- <br />iuspeclicm. ~plHnDpphs of aICh p1marl at:1bI:: JDCIfwith ~ pcmIit# or lIddmss # clcBdy sbcnroIP.:amkIxl an fbe <br />dIIck fbr I:IIClb. JlIIIIJIClClti= " I <br /> <br />, I <br />