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10-10756
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10-10756
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Last modified
2/7/2011 9:02:49 AM
Creation date
2/7/2011 9:02:47 AM
Metadata
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Template:
Building Department
Company Name
ADVANCED AUTO PARTS
Building Department - Doc Type
Permit
Permit #
10-10756
Building Department - Name
ADVANCED AUTO PARTS
Address
5637 GALL BLVD
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lOp EX CELt 1EN 7 <br /> SERVICE, INC, <br /> CAC ()2_V 2 <br /> PO. Box 11214 9121 N. Military Trail, #103 <br /> Pompano Beach, Florida 33061 Palm Beach Gardens, Florida 33410 <br /> (954) 946 -9494 (561) 383 -3855 <br /> (954) 481 -9494 aexcellentsery @aol.com (561) 383 -3241 FAX <br /> I hereby authorize ((L VS (C a� LQC to be listed as an authorized agent for <br /> Walter Weiss Jr, pertaining to applying for and receiving any permits involving A- Excellent <br /> Service, Inc. <br /> This authorization becomes effective on the date this affidavit is notarized and shall remain in <br /> effect for 1 year thereafter. <br /> The undersigned understands the liabilities involved in the granting of this agency and accepts <br /> full responsibility for any and all of the actions of the agent names, related to the acquisition of <br /> permits for the aforementioned applicant. <br /> _ice .i <br /> Walter Weiss, r., President <br /> NOTARY: <br /> STATE OF FLORIDA <br /> COUNTY OF: <br /> The foregoing instrument was acknowledged before me this Q Q day of <br /> .�1 , 20 ICS. (.Czr (.t)e.5-SS is � personally known <br /> produ 1 ed identification ( type of identification), did / did <br /> not take an oath. <br /> aka) - eL_AL <br /> Notion, . <br /> 4 ..IT':' „ „ MELISSA G • <br /> ;A p"'� �6% Notary Public - State of Florida <br /> t .� a My Commission Expires Nov 28, 2010 <br /> ■ <br /> %} AS Commission # DD 618306 <br /> ''4g,;7„f3tV gybed Through National Notary Assn. I <br />
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