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From: 04128l2016 15:13 #106 P.0081009 <br /> PERMIT AUTHORIZATION/ <br /> LETTER OF AUTHORIZATION <br /> �� � L � hereby authorize <br /> (License Holder/Please Print) <br /> ������ 1 Y ���h�'� to obtain a permit in my behalf <br /> (Authorized Person—Please Print) <br /> under my License# `;U-.d � /�� , for the job described below: <br /> TYPE PERNIIT DESCRIPTION <br /> Building � Owner lJ�,{ l� � . V . <br /> Electrical Site Address � �`� �f j 1,�� . <br /> Plumbing ��/ �. ,�, �-'1 • ����L • <br /> HVAC Tax Parcel# 1��(p��I -Q��(�� ���� --�� , <br /> Roofmg� <br /> Pool <br /> Sign ` <br /> I Other <br /> Lice e Holder Signature) <br /> I� D � <br /> ate ���it 1 <br />' State of Flori <br /> co��of �(,l,�C' . <br /> ,.f <br /> Aff zmed d subscribed before me this�day of I 24�j/Iby <br />, f � <br /> � � �� ��(�Q��JIC� ' Who is o to me or who has <br />' produced (type of ID) as identification. <br />� - -. <br />'� <br /> I <br /> Signature of Notary Public, State of Florida <br />� <br /> � � <br /> (Notarial Seal} ♦�,R'�p��� <br /> ,:> �9;•,, SHERRI L.WILKIE <br /> �r�°�`�- Notary Public-State o1 Florida <br /> °�' � : �'My Comm.Explres May Z2,2018 <br /> ;fe .. <br /> �'•;���a��,�A� Commiss[on#FF 107354 <br /> I , <br />