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<br />(813) 856-9448
<br />'rE:! I f:?P 1'1 0 I'l(:?
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<br />GREG HENRY, INC.
<br />S"718 C~LS~Jer~ Averlt.le
<br />Hudson, FL 34667
<br />C: F( c:: () :.:':J () :~:3 .:;;..-
<br />
<br />(813) 863-1169
<br />I':-a :<
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<br />WORK AUTHORIZATION
<br />
<br />lrJf:: 2\ U. tho f' i. ;;:f:? UH.Ef.3 HE1\IH \(. I NC. h E' I'i.~ i. lEi. f t; ,:~~ f' f'I=:!.r f::.' 1" r.'ed t Cl .;i S c: 0 n tea. c t (] 1" 'C U
<br />makc~ r'€:!peliT"s to our. Pf'OP€:!T'ty ~lt 1:;11L: ,:tddr'E':'~::;.:::: belcw.l.
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<br />l'J€~ al;JI'f:~f? tCI'Gal CCl',5t of f.'lor'k VliI1 !:if:: ill a.c::cCli"c:la.nCE? 1.111th I:;hf!:! ol"1i,)in.,:l.l
<br />t:::.;:; t :i. mel t E:', a rlY' .::"upp 1 t':.'(liE:~ r, t a 1 f:,:~, t i fila t€:~.;:; p f'E:':p .::ll'c:d by t h c! con t 1",1 c: tor' a nd any'
<br />c::ha nq t? (J I"'d(:: f"::; app r'elV E'd by OI.'I!'"I>::? r' (',::;) a. 1"11.::1 I.::: Cln t I'd. C to f' .
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<br />'rl.IE:~ I.'IU f' k aut he> i' i ;7. at i ClI." a 1 orl',~.1 I.,) :i. i.; II a 11 a pp ,'..0 ',' ;;2;.::1 E'.,:; t i ina t;€-2~::;, ~;up p 1 €:~ffiE'r.1 tal
<br />(:::."i t :i. rna tE!.";, and o::h a j"lq(.? U f'dE? 1"."'; f)J i 11 con':,; I:; i. tu. t(.;: l.;hf2 CCln I:; l'<1":: tU.a.1. ob:l. i. C) a. t :i. on'",
<br />(Yi' l:;1'IE.~ DI.'JrK,'['(<",) .:lnd C:CH\!.;f"<:U:.:!:;Of'.
<br />
<br />WE UNDERSTAND THAT WE ALONE HAVE THE AUTHORITY TO AUTHORIZE CONTRACTOR TO
<br />MAKE REPAIRS.
<br />
<br />1:../e. a. (.'.I r.E:'f2 ~l ny po 1" t i 0 rl of f.IIO 1" k ''',,'-.I.e h a .:::i c:l€~d ue:: t :i. b J ~::.:::;. bet t E~ r.:liE! [, t d t2P r't?,::c:. i ,:~!.; .i. CHI,
<br />o i' add:i. tic) na. 1 \.<JO l~ k r',"~'q U.:.?',:;; t (~d I::i '/ 1..1.";. no I.; c: Cl v H i',::~d by. i 1'1.;:;1...1. r'a. no::: (.:~', Ifll...I.',,:;I:; b ':2 p a. i c:l
<br />by '-.I.',:; un CH' t:lI:::d:Clr'c~ c:oHlplE:!t:i.c>r.I.
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<br />UUI' in',::;ur'arICE'! i':5 .........f1.\.\;?.~.8JI:.. ...................._........... ancl I'if! ,:lut!.IOI':i.ZE'~
<br />thCill tu appl)/ a.ll pr.'oc>::'!I=!c:l'::i e1LI.:;! cont1".::tct;OI" P.::1./,.3.1::i1(::.\ 1...I.ncl,.:':.'1' 01..1.1" pCllicy
<br />dir'E~ctlJ/ to contl.'actol' a.nd ,:~rIY mOi'l~q<:~~:IE~ c.:Oiflp~!.rIY naiIIE:d. If OUI' fl.:~iiit:::.::; aT.':;.'
<br />:i.l'lc:l.I...I.d(~cl on th,=::! pa'/ir\(:::I'lI.;, 1))(::.' aqi'f:!f:21;CI pl"omptly. ('::.'ndoi"',:;(:! pa.Y'i1iI.,!nt.
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<br />l'k.~ ~~qr'L\t':: that; arlY p.::i.Yillt::rd;'i:; rlut loa.ck: 1.IJ:i.thii.1 h:'Jrl c:l,,~y.~:; u.f .jub cUiHplc!tior,
<br />.:::iha 11 I:J.::? cons i. (jC! Pled el,:::::I. i I.ique Ii:.; a [I'.::! a.9 I'Q(:.'l:;u p 3. :;/ :i. rii;;e~' 1'(;2":; t the:' ('(Jon a. t :I. 1. / ::?>;
<br />pC!1" month urltil paid ill .full.
<br />
<br />.rhE: l"E'p.::lir"::; or. r'~::!plae::E~ih';;2rlt ,1'-.1.thC:II':i.ZE:~d hC.!I'cirl I".::::'latf::! to da.maqcs ~:;;pE:.!c:i.f:i.E"d
<br />in the.? e';5tirna'b? and do not CClV':!i' pr'E?-".e:<:lEit:lI'H:.1 cond:i.tiorl':::i I...lnll,j':::;S
<br />~"iJ:)E:!c:ii'ica:l.ly' stated. (Ill ill<:1tcr':i.a.ls f.l!ill be .5ta.rlc:iar'ci .::;tock un 1 f!':;;':;;
<br />o t h€.J f'I.<1 i ~3'=:! sp ('::.'c i '1' i E?d a. nel '....J i. 1:1. Hia t ch f:.~:{:l ':;; t; i nq Ilia t C:.' r' i a. :I.~; \,) i t 1'\ i r'f r".c!.::;. ':5ona. b 1.;:':.'
<br />t 01 E: r' a no:: E:'~ t CJ c:: 01 Ci f'. t c :<!.;t...1. f' *:::~, c t c: .
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<br />"1'I-jI;;:.~ contl'.:!..::t pl'ic:~::: i,:; ba.';:;\'?d on cl.Jifipl..::!tion d'..r.r".inq nor-Inal '.>Jolkin\) 1'101.1.1"':,5 ancl
<br />owner'(s) aQree to provide acccss to the job site a.s requil'ed fuT"
<br />"- ") if I f.J 1 .::.. .1- l' O' '1"\ - '-J.f ' , '-J ,... I.. I'J- II.J 1'\ P f" ( .0- l .;.. t::" ] p,') 1.'\1.') I..' P . ,." 1,,::.',.- .1--. l' r" l' -1-. '. i .'" 1-' d 1.'1" .1" ,:.' 'j.-' 01 ..., ..,.. .I....J ,'.. .:::,
<br />l_l J.... l.t I I.. ..1 I.. t... .. ._ ::J , J .... .._ t' ._ I __ 'I ._ _. _ .1 t ._ J ,),:a. ," Q ..,.._ '.. I 1.:_ 1./ J.. ..J t..
<br />
<br />(jia(h::~ availablE! to thc: contl'acto!"s p€::r'~:;ol"lr.IE::1 du.I'ing thE' COU\"':,;.;;:' of 1.-<IOI'k.
<br />
<br />THE CONTRACTOR GUARANTEES ALL WORKMANSHIP COVERED BY THIS AUTHORIZATION
<br />FOR A PERIOD OF '''17Ft=" Y/::.'6)((>FROM DATE OF COMPLETION.
<br />
<br />I l\rTHb_J~YENT THAI-U-BEG8MES--NECESSARY FOR_ CQJ~Tf3.ACTORT.O -TURN' --rHI!?~t1ATTER
<br />OVER TO ~RNEY FOR COLLECT I ON, OWNER (S)- AGREET.O- ATTORNEY' S FEES AND
<br />COUR1=-~Co.STS INCURRr:::O FOR SUCH COLLECTI.ON. tJ(5J ~p::P}' CA4-PP..L GH)O-~~7-9t..(
<br />
<br />. ..
<br />Due to thE'! natuI'e o.r'Vhe 1.-l!c,1I-k; riLl C::u"I1,pletion d~1te i~:; E:;PE'c:i.'f:i.EJd. I...jo vE.!"b.,:<J
<br />a'JI"'(;'Jf::!iH'2nt'::i ar€.? bindinq on cCintr'dctor'.
<br />
<br />This ~J Day o'f
<br />OWNERS NAME/~~~
<br />LOSS ADDRESS
<br />
<br />ocAo l-;>~If(
<br />\ ~tI~ OWNER X
<br />V' t
<br />
<br />19 q 0;
<br />
<br />PHONE
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<br />CONTRACTOR X
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<br />Cf1Q--roo ~
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