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<br /> <br />America's Propane Company <br /> <br />SIGNATURE AUTHORITY FORM <br />FOR THE PURPOSE OF OBTAINING BUILDING PERMITS <br /> <br />This letter shall be accepted in all Florida County & City Buildina Development Permit Locations. <br />includina but not limited to: <br /> <br />Counties of: Hillsborough, Polk, Pasco, Hernando, Pinellas, Citrus, Manatee, Sarasota, Desota, Marion, <br />Sumter, Lake, Seminole, Orange, Osceola, Hardee, Highlands, etc... <br />Cities of: Plant City, Tampa, Temple Terrace, Dundee, etc... <br /> <br />I, Danny Freitas, of AmeriGas Propane - License # 00528 and 00514 do hereby designate the following <br />individual(s) as having the authority to sign, submit and pull applications and related documents for the <br /> <br />purpose of obtaining building permits. I further acknowledge and accept as a licensed contractor, my <br /> <br />responsibility and liability for each project permitted under the authority designated on this form, and that my <br />failure to assume and fulfill said duty may be grounds for the initiation of disciplinary action against my <br /> <br />contractors license. <br /> <br />DESIGNATED SIGNING AGENTS: <br /> <br />Name <br />Christina Beall <br />Nina Knight <br />Connie Genens <br /> <br />Drivers License # <br />8400-101-70-584-0 <br />K 5,13 - (f;.30- '13 -Lf.::?.3-C <br />L;55,;{ -//3- '-I9-S.::?5-0 <br /> <br />~sZ.~ <br /> <br />Danny Freitas, Contractors Signature <br /> <br /> <br />sLle <br />my commission expires: <br /> <br />( ) Is (~perso~J<nol Jl1jl, <br />Identified by: t- Ll:..- <br /> <br />.~.. DEANAOUSH <br />NGeIIy Public. s.e d FIoItdI <br />. . ec...' 1:........ "'-- 27 2008 <br />,~.~-~ , <br />CoIMliIIIoII.. DO 382032 <br /> <br /> <br />4600 Paul Buchman Hwy. - Plant City, FL 33565 - Tel. (813) 752-4188 <br />