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EASEROOFING <br /> ROOFING WITH EASE <br /> I� Glenn H. Williams Ease Roofing <br /> (Print Name Here) (Print Business Name Here) <br /> do hereby designate the following individuals) as having the authority to sign and <br /> submit applications and related documents for the purpose of obtaining building <br /> permits under my.Florida Contractor's,!License (CCC1131168, CRC1331408, & <br /> CBC126961)with the City of ZephyshiRs Building Dept. .1 further <br /> acknowledge and accept, as a licensed contractor, my responsibility for each project <br /> permitted under the authority designated on this form,which supersedes and <br /> repeals all other previously submitted signature authority forms. <br /> DESIGNATED SIGNERS: (PLEASE PRINT): <br /> 1.) Brittany Nichols <br /> 2 ) Regina Smith <br /> 3 ) Daniel Heard <br /> 4) Aixa Vega <br /> 5.) _ <br /> BY: Glenn H..Williams <br /> (Printed Name) (Signature) <br /> State of Florida, County of Sworn to (or affirmed) and <br /> x <br /> subscribed before me this day of <br /> By ' who i ersonally known me or who <br /> has produced (type of ID) as'identification. <br /> BRITTANY JORDAN NICHOLS <br /> Notary Public-State of Florida <br /> Commission a GG 1S13S0 My Comm.Expires tin 31,2022 <br /> " Bonded through National Noldry Assn. <br /> Signat f otary PIc State of Florida hy CommissiGn Expires <br /> 6039 Cypress Gardens Blvd. #544 1863.223.3900 1 www.easeroofing.com <br />