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<br />LaWE.S <br /> <br />Com...nleS.nc. <br />8529 South Park Cr. <br />Suite 430 <br />Orlando, Florida 32819 <br />Bus. 407/370-2872 <br />Fax, 407/352-6309 <br /> <br />#;~j~ <br /> <br />Date: <br /> <br />To: City of Zephyrhills Building Department <br />5335 8th Street <br />Zephyrhills, Florida 33542 <br /> <br />From: Rebeca Alicia Banuelos-Bernard <br /> <br />I hereby authorize the following individual, Michael L. Berkman, to act as my agent to apply for, sign for and pick up permits <br />under my State Certified Residential Contractor's License, CRC 057468. <br /> <br />Homeowner Name: /45-/}- --;TKo)) lite / ~I> <br />.3 g ~ ~::s I /2rJ, /;W8]) fl L- <br />~k;r~j!;)J <br />/-- 1 flvJ /'vP~ Y <br /> <br />Address of Job: <br /> <br />City: <br /> <br />Type of Work: <br /> <br />Thank you for your assistance. <br /> <br />Sincerely, <br /> <br />~QA';( <br /> <br />'. Rebeca AliCia B elos-Bernard <br />Regional Installed Sales Manager <br />Primary State Qualifier CRC 057468 <br /> <br /> <br /> <br /> <br />Sworn '0 Md ,ob"riboo ::11:/ cf ~ ofd20rA <br /> <br /> <br />No.public <br />My commission expires <br />~~~~'ii--V:I;'~;;:.,,.., Rebecca Velez <br />:'j" .~ ..~;~ MY COMMISSION # DD~76963 EXPIRES <br />>'~"7..,,"..o January 12, L007 <br />. .c.c;'o;." BONDED THRU TROY FAIN INSURANC~ INC. <br />:.."" <br />