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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 M46) <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 /> ZephyrhiIis, Florida. <br /> ArNOM =G tGk)A110 J06 j <br /> ,n <br /> H; C-A\ Alv id 1)A I-i- l4ex <br /> r e <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' Date 1 -° <br /> State of FjorCt V Q" <br /> County of. 11 40-6 Y <br /> Before me,personally appeared, T���`�� � L"�'�`�'"�``� , who produced <br /> as identification or is personally known to me, and who did affirm and <br /> subscribed before me this t day of tloV ,2020 <br /> Signature of the Notary <br /> Affix Seal or Stamp \\\\`\���t��BQDQ����///��� <br /> �� 0 sslo <br /> RGN2Jz�or•. iK 10 Do y { M k <br /> *: ? Name of Notary Typed,printed and stamped <br /> 99G 972417 <br /> eO�ded <br /> �1 <br /> ��� My.Commission Expires "LL4� 11 <br /> to <br /> www.flapools.com/ info(a7flapools.com <br /> State Certified CPC1457671 <br />