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14-15377
Zephyrhills
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2014
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14-15377
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Last modified
6/23/2015 1:46:21 PM
Creation date
6/23/2015 1:46:20 PM
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Building Department
Company Name
FLORIDA HOSPITAL ZEPHYRHILLS
Building Department - Doc Type
Permit
Permit #
14-15377
Building Department - Name
FLORIDA HOSPITAL ZEPHYRHILLS
Address
7050 GALL BLVD
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� � <br /> n <br /> � <br /> . + � � <br /> � ����� <br /> CONS'T12UCTION <br /> City of Zephyrhills <br /> CONTRACTOR AUTHORIZED FORM <br /> PASCO COUNTY CONTRACTOR ID # <br /> STATE CERTIFIED LICENSE # CGC-057163 <br /> QUALIFIERS NAME Mark Stevens <br /> BUSINESS NAME Stevens Construction, Inc. <br /> I authorize the following individuals to sign for and obtain permits. <br /> **THIS AUTHORIZATION SUPERSEDES ALL PREVIOUS SUBMITTED <br /> AUTHORIZATIONS** <br /> Michael Roach <br /> Nikolas Dobbs <br /> Signature of qualifier: c� <br /> State of County of Sworn to s s ribed before this <br /> y �� �� <br /> :zo�"-"�p"4�, DENISE CASTANEDA <br /> "� � MY COMMISSION#FF014205 <br /> ;�..�� .oQ: <br /> :,...........�P; <br /> •a?eoFF.o,,.•• EXPIRES May 5,2017 <br /> ..�,» <br /> (407)396-0153 FlorldallotaryService.cam <br /> Notary Stamp here <br /> 6208 Whiskey Creek Drive * Fort Myers,FL 33919 * Phone: 239.936.9006 * F�239.936.9010 <br /> www.stevensconstructioninc.com <br /> Lic.#CGC057163 <br />
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