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10-10172
Zephyrhills
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2010
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10-10172
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Last modified
1/27/2011 10:51:25 AM
Creation date
1/27/2011 10:51:23 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
10-10172
Building Department - Name
FRONTIER DEVE ZEPHYRHILLS LLC
Address
7715 GALL BLVD
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Special Power of Attorney <br /> I, William G. Kirst, license # CBC1254051, hereinafter referred to as the "License Holder" of Native <br /> Homes of Brevard, Inc., hereinafter referred to as the "Company ", hereby appoint the following <br /> person(s) as Attorney -In -Fact of the License Holder /Company, in order to obtain building permits from <br /> Zephyrhills, FL on behalf of the License Holder /Company. <br /> Amy Capobianco <br /> James Stanton James Ringler Joseph Couturier Linda Kirst Couturier <br /> LICENSE HOL ER: WITNESSES: <br /> Sign: _ , _ . A /1 , Si �rtag. <br /> Print Name: William G. Kirst Print Name: <br /> Title: Qualifier/License Holder Sign: 3 s 1 <br /> Print Name: <br /> • ifs <br /> Company Name: Native Homes of Brevard, Inc. Sign: . . . I 1j L , vool• <br /> Mailing Address: 2560 Emerson Drive SE Print Name: William G. Kirst <br /> Palm Bay, FL 32909 <br /> Telephone Number: (321) 728 -4288 <br /> Fax Number: (321) 728 -4288 <br /> STATE OF FLORIDA <br /> COUNTY OF BREVARD <br /> The foregoing instrument was acknowledged before me this 3 day of /' 4/ C / , 20 / a , <br /> by LA) /l /Cut.t. 1<i if f - , who is personally known to me or has presented his/her <br /> driver's lliiccense. ?C‘t- <br /> Signature of Nntary Piihlic -State of Florida <br /> CRAIG PHELAN <br /> : E MY COMMISSION # DD799039 <br /> 9 s EXPIRES June 18, 2012 <br /> Name o , ., <br />
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