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10-10421
Zephyrhills
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2010
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10-10421
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Last modified
2/1/2011 8:41:01 AM
Creation date
2/1/2011 8:40:58 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
10-10421
Building Department - Name
BIRMINGHAM,MATTHEW
Address
5336 16TH ST
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APR -30 -2010 01:27 FROM: 727 585 8500 TO:18137800021 P.4'7 <br /> SUPERIOR <br /> FUNCE&RAIL.INc <br /> ti/here Quality fMattel's! <br /> 1400 Starkey Rd <br /> Largo Fl 33771 <br /> (Tel) 727 - 536 -1905 <br /> (Fax )727 -S85 -8500 <br /> Date: 4 1 30 I C7 <br /> RE: LETTER OF AUTHORIZATION <br /> 1, Christopher Johnson, holder of a PCCLB number C-10418, do hereby authorize the following to act as <br /> my agent(s) in submitting permit applications and obtaining permits as well as make changes to permits <br /> and plans, initial changes made by the building dept and/or sign applications for the qualifier: <br /> Authorized Agents: <br /> rn u .l _l hr_l 11104_ CraSb r . 1 i' C P Dorman <br /> 1 unders , • I at I, as the li sed qualifier, am responsible for any application submitted by my agent(s). <br /> C •phcrJa n <br /> Contractor Si ure <br /> State of Flom�a, Cottn of CJ k.S sworn to (or affirmed) and subscribed hefore <br /> me this aayof_ ri , 2010 <br /> Notary Seal: Notary: <br /> R Qjr 1,D <br /> Signatu of Notary Public -State of Florida <br /> ' STEPHANIE R MARTENS ea <br /> -' : � , ; "- MY COMMISSION # DD830120 ') ,Mark S <br /> . EXPIRES October 09. 2012 Print G Nanie of Notary Public <br /> (407) BBB -0157 FIMWUNelrryaervececo n <br /> Personally KnownWOR Produced TD [ 1 <br /> Type of Identification Produced <br />
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