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MAR-27-2018 09:10AM From:EF LEA ELECTRICAL 9043556158 To:8137800021 page:6/6 <br /> XGL MECTOCAL CONTRACTOR INC. (904)355-INS <br /> (904)35"158 fax <br /> ESTARLISUED 1921 339 FAST 56M ST <br /> JACKSONVILLP,FLOPUDA 32208 <br /> #EC504 <br /> City of ZePbyrhills <br /> March 27,2018 <br /> CONTRACTOR LICENSE <br /> AUTHORIZATION FORM <br /> Name of Firm Licensed: E.F.Lea Electrical Contractor,Inc. <br /> Quaffier.-Ernest L. Lea-Jr - Title; Resident <br /> Qualffier's Electrical Contractor License Number:FL EC(?440504 <br /> AGENT(S)NAME <br /> (please print or type) <br /> I.-Jarrett McFatter 2.At Starratt <br /> 3.Gary Bennett 4. Jesse Hall <br /> 5. Eric Lea <br /> The above named individuals are authorized to sign for perm&and transact business for the company <br /> idenWied above. I understand that it is my sole responsibility as the qualifying contractor to keep this <br /> information current and resubmit a new accurate authorization forth each tune a change needs to he made to <br /> the above list of lndividaals. <br /> -- <br /> SIGNATM Of QUALIFtRO- jj,ATE <br /> "**, I �(r,L <br /> STATE OF,. 5 %'6\..Q D.A,- COUNTY OF: U, <br /> The foregoing instrument was acknowledged before me by 'PCoCt S \-SIX <br /> who is personally known to ma or has produced <br /> as identification and who did not take an oath, <br /> wnNESS my hand and off 'at at this 4h <br /> 0 a -q-V-1 day of A.D.,20-L% <br /> 7a-�' MOMM <br /> OF,*PAULALCARM <br /> Notarytublir.,State of Fl at Large eommWmv 80 122105 <br /> -1 W* 9j <br />