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POWER OF ATTORNEY <br /> Date: a i 1) /,;[I <br /> hereby name and appointNovo— &nS of <br /> CLARK & ASSOCIATES CONTRACTING INC tc a my lawful attorney-in-fact to act for me, and <br /> apply to the Division of Building Safety, and to sign my name and do all things necessary to this <br /> appointment, for a REROOF permit for work to be performed at a location described as: <br /> Parcel ID# (15 Digit Parcel Number) <br /> Section Q '_6Township f0 Ranges Subdivision Block NO Lot () <br /> Subdivision Name: l Vs' I <br /> Owner of Property: Se_ Q_ U V <br /> Property Address: gkjllk lj,�p <br /> City: ,FL Zip <br /> COMPANY: CLARK & ASSOCIATES CONTRACTING INC LICENSE # CCC1329202 <br /> ADDRESSE: 5401 S.KIRKMAN RD #310—ORLANDO, FL 32819 EMAIL: INFO@CAACINC.COM <br /> QUALIFIER'S or LICENSE HOLDER'S NAME: JOHN N. CLARK <br /> SIGNATURE - <br /> STATE OF FLORIDA <br /> COUNTY OF ORANGE <br /> The foregoing instrument was acknowledged before me this--U— day of of 2021, <br /> byjol tN N. c LA7zIC who is personally known to me or who produced an ID as <br /> identification and who did not take an oath. <br /> hA, <br /> Ignature of Lary- -Printed or Typed Name of Notary Public- <br /> HEATHER HALL <br /> NOTARY STAMP OR SEAL: r. MY COMMISSION GG117178 <br /> EXPIRES June 21,2021 <br /> Rev 03.01NBA <br />