Laserfiche WebLink
<br />c " <br /> <br />, <br /> <br />TO BE COMPLETED IF ;CONSRTUCTION <br /> <br />'TATTTT""OT"'l...r_____.-_ _. <br /> <br />I "'VI"'CIBLE <br /> <br />State Certified License # CRCOI5276 <br /> <br />Owner's Letter of Authorization <br /> <br />I hereby authorize the below named individual to act as my agent to <br />obtain all necessary permits for residential V'l~iJUI8lV work for: <br /> <br />f ~~ <br /> <br />Owner: b..ev--frr ~d ~ G- ('tA 3 r l'C ~ <br /> <br />At this location: SJJ020 ~N:D Av E. 2e.plA'1 r f{ d(SL fL '3 $S4/ <br /> <br />This person is also empowered to obtain, complete, and sign all'fOlTIlS, <br />applications, registrations, and documeotation, with this limited power of attorney, <br />on behalf of me that may be required to accomplish the issuance of any permits <br />that may be required in any jUrisdiction throughout the State of Florida. <br /> <br />'.\.0" <br /> <br />Authorized Person: 0 S CA Q lV. E ~ E 'R \I A R Y <br /> <br />Authorized Person's Signature: <br /> <br />t1L' (/, <br />-------, <br />---r-- ] <br /> <br />Owner's Signature: ~'41:Au,a.'_~7#~A <br /> <br />'<, <br /> <br />, INVINCIBLE ASSOClA TES <br />10931 75TH ST, LARGO,FL 33777 727/545-1800 800/937-6635 <br /> <br />II ~ <br /> <br />__n__,__ ---r,-r-' <br /> <br />I <br />