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Fla Pools INC . <br /> 1212 N. Parsons Ave,Brandon, FL 33510 <br /> Commercial&Residential 813-839-POOL (7665) Fax 813-835-SWIM(7946) <br /> I,Robert Sicignano Contractor License# CPC1457671 <br /> Hereby authorized the following to act as my agent(s) in obtaining permits in Dade City county of <br /> Zephyrhills,Florida. <br /> Emma Greene <br /> Currently authorized agent will remain on file. <br /> It is the responsibility of the License Holder to Notify this office or agent removal. <br /> License Holder's Signature 1 z•/G •Z al <br /> State of: <br /> County of. <br /> Before me,personally appeared, ��L-� r, - C>,who produced <br /> as identification or iOqi2a?,2020 <br /> o me, and who did affirm and <br /> subscribed before me this 1 Lp day of <br /> Signature of the Notary <br /> Affix Seal or Stamp I0 <br /> "� •; �D�oy ,n,fie <br /> - <br /> ,�: Name of Notary Typed, printed and stamped <br /> eOnded 1h�° �e,'QQ�� 1 <br /> gbh`u`�� � � My Commission Expires 3 23 <br /> www.flapools.com /info(a,flapools.com <br /> State Certified CPC1457671 <br />