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� / <br /> � <br /> %� / .� <br /> ' � f � <br /> i�i <br /> ���1��f�.���� �I <br /> Comfort Tech Holdings, Inc. <br /> 4211 E. Busch Blvd, Tampa FL 33617 <br /> Office; 813-388-6145 Fax; 813-528-8694 <br /> CAC: 18184737 <br /> Contractor Authorization Form <br /> State License No: CAC1818437 <br /> Print Qualifier's Name: Christine Jagat <br /> Business Name_Comfort Tech Holdings Inc <br /> *THIS AUTHORIZATION SUPERSEDES ALL PREVIOUS SUBMITTED AUTHORIZATION* <br /> 1 authorize the following individuals to sign for and obtain permits: <br /> (� C � � rz��- �d'1 ���s c��1 <br /> �'c�r� �� �i <br /> � ' n� �e � � <br /> Signature of Qualifier: � �--z— Date: J` � �2 <br /> State of Florida -' ' <br /> Sworn to and subscribed before this day <br /> ���_��—�' __�-- <br /> Notary Public State of Florida <br /> My commision expires: ��/�l <br /> ,�;PRY`��;�. H�NRY HE�tNAND�Z <br /> =': ': MY COMMISSION#GG07361� . <br /> %J�'�, � <br /> "•-','�oF�;a;�'� EXPIRES FebRlary 15,2021 <br />