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: 1 ELOC1 TY <br /> • AIR CONDITIONING <br /> • m . <br /> Authorized Agent Affidavit <br /> To whom it may concern: <br /> I, VV 1 LL l AW & Mechanical license holder CAC1817421,am herby authorizing the <br /> following agent(s)to apply/sign for permits under my license. <br /> Agent(s)are as follows: <br /> ctor Signature Contractor Name Printed Date <br /> STATE OF FLORIDA <br /> COUNTY OF PINELLAS <br /> The foregoing instrument was acknowledged before me this 15 day of J L&�. <br /> 20_ft by WL u ,j AM S,Ny,D(�yh<ersonally known o me or <br /> has pr ced as identification. <br /> 12-0 2Z <br /> No ary P is Date Commission Expires <br /> ASHLEY ZIOLKOWSKI <br /> State of Florida-Notary Public <br /> Commission#GG 260914 <br /> , t�P�� M <br /> September�20, 2022 Expires <br />