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10-10795
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10-10795
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Last modified
2/7/2011 10:05:55 AM
Creation date
2/7/2011 10:05:53 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
10-10795
Building Department - Name
ROSEMAN,STANLEY
Address
5246 18TH ST
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SOUTHERN COMFORT ENTERPRISES, INC. <br /> 4109 CR 656 P. O. BOX 486 <br /> WEBSTER, FL. 33597 DADE CITY, FL. 33526 <br /> 352- 793 -5501 352 -567 -6111 <br /> CAC1813579 <br /> DATE: 8 -6- )Q <br /> C- et/NTY /CITY OF: Z tP\- S <br /> (}� 1� <br /> TO WHOM IT MAY CONCERN: <br /> I, Thomas Lachance, license holder of Southem Comfort Enterprises, Inc. authorize <br /> T)A v ► to sign for release of Mechanical Permit on my behalf for the <br /> Annkii( ROSE).man 69 iLo <br /> Name of Job Location of Job <br /> /% / ,-•� <br /> Thomas Lachance <br /> STATE OF FLORIDA <br /> COUNTY OF SLm ( <br /> I HEREBY CERTIFYthat on this day, before me, an officer duly authorized in the <br /> State aforesaid and in the County aforesaid to take acknowledgements, appeared before <br /> me Thomas Lachance, personally known to me, who executed the foregoing instrument <br /> and they acknowledge before me that the executed same. <br /> l - L WITNESS my hand and official seal in the County and State las aforesaid this <br /> & ' day of Qu i , 2010. <br /> Notary ub c Signature and Seal <br /> NOTARY PUBLIC-STATE OF FLORIDA <br /> Darlene Ford <br /> „',r ` - C ommission #DD905245 <br /> '• Expires: AUG. 07 2013 <br /> BONGED THRC ATLAYCIC BOYDING CO., !NC. <br />
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