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10-11118
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10-11118
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Last modified
8/16/2011 10:12:40 AM
Creation date
8/16/2011 10:12:40 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
10-11118
Building Department - Name
TODES,PATRICIA
Address
39109 7TH AVE
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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 /> CAC 1813579 <br /> DATE: 11) :)c, °dv <br /> COUNTY /CITY OF: LA. 0C Z - e?V,y r <br /> TO WHOM IT MAY CONCERN: <br /> 1, Thomas Lachance, license holder of Southern Comfort Enterprises, Inc. authorize <br /> t rn g VI /WA IA, to sign for release of Mechanical Permit on my behalf for the <br /> �c�- s ∎c ,r�, c� 3t3 69 7' <br /> Name of Job Location of Job <br /> 0 <br /> Thomas Lachance <br /> STATE OF FLORIDA <br /> COUNTY OF <br /> I HEREBY CERTIFY that 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 /> VITNESS my hand and official seal in the County and State las aforesaid this <br /> day of O0;-1T.)P. , 2010. <br /> (J Chin P � <br /> otary Public ignature and Seal <br /> N OTARY PUBLIC- ATE OF FLORIDA <br /> Darlene Ford <br /> ,-,• Commission #DD905245 <br /> Expires: A U G. 07 2013 <br /> BODED THRP ATL:1.\71C BODING' CO, INC. <br />
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