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09-9073
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09-9073
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Last modified
1/13/2011 9:08:53 AM
Creation date
1/13/2011 9:08:49 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
09-9073
Building Department - Name
SWEENEY,SANDRA
Address
5053 17TH ST
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ACKNOWLEDGMENT <br /> State of F14,10/9 § <br /> County of S § 1 The foregoing instrument was acknowledged before me this MMT 1 2009 <br /> , [ date] by <br /> [ name of person acknowledging I, who is personally known to me or who has <br /> produced DRIVER'S LI CENSES <br /> [ type of identification ] as identification. <br /> S. N Signature of Person Taking A no ment <br /> e • •'�`E' BRUCE D. GRUMNEY BRUCE D. GRUMNEY <br /> MY * * IDD 812421 Name Typed, Printed or Stamped <br /> % SEPTEM % 2012 NMI/ <br /> Title or Rank <br /> .7): z 41/ <br /> Serial Nu er, if any <br /> Verification pursuant to Section 92.525, Florida Statutes. <br /> Under penalties of p -.rjury, I • re that I have read the foregoing and that the facts <br /> stated in it are true i the b • my knowledge and belief. <br /> 4 <br /> si.•.„ O 7 so k NO- - - <br /> IV ' /, I <br /> _aLi.., 4...._.....k_,...... .1 <br /> igna e of Natural Perso• igning Above <br /> Signature of Natural Person Signing Above <br /> Signature of Natural Person Signing Above <br /> Florida Notice of Commencement <br /> Page 4 of 4 <br /> ACNF1 -4 110/07 New) <br /> f _ <br />
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