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907 S. FT. HARRISON AVE <br /> SUITE 102 <br /> CLEARWATER, FL 33756 <br /> NOW, STRAMEGIC CGC1525692 <br /> MONSTRUCT1101114 OFFICE: 727.216-3378 <br /> FAX: 727.210.1901 <br /> AGENT AUTHORIZATION FORM <br /> THIS LETTER SUPERCEDES ANY PREVIOUSLY SUBMITTED LETTER OF AUTHORIZATION&MUST BE NOTARIZED <br /> V/NEW AGENT OR oUPDATE EXISTING AGENT <br /> 1,Benjamin Green,of Strategic Construction authorize Sue Sucevic,Steven Colwell,Joel Metzger,Barry <br /> Burlison to act as my agent under my license CGC1525692 for the following time period (not to exceed <br /> one year)07/12/18 to 07/12/19. <br /> 1 understand that 1,as the licensed qualifier,am solely responsible for any permit submitted or obtained <br /> by my agent and that if I terminate rnV agent authorization I must notiN,the building de0artment in <br /> writing to request removal of agent from my account. <br /> License Holders'Signature:, <br /> State of Florida <br /> County of Pinellas <br /> The foregoing instrument was acknowledged before me this day of -...2018 <br /> by Benjamin Green. <br /> NdAry Signature'- <br /> LENS <br /> -Wersonally Known OR oProduced Identification SUS <br /> • COMMSSION#FP 9405 <br /> MY , febTuarj 14.2020 <br /> EXPIRES* <br /> Type of Identification Produced IVA. RoftdedTh1U�Qjar1Pubr1DUAd1011 <br /> Agent Name: SUE SUCEVIC Phone: 727-216-1378 Fax: 727-210-1901 <br /> Mailing Address: --- 907 S. FT.HARRISON AVE.,CLEARWATERi FL 33756 <br /> Agent Email:- sue@strategicconco.com.- <br />