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<br />J ./ <br />L~/ <br /> <br />To All Whom It May Concern: <br />City of Zephyrhills, Florida Building Department <br /> <br />From: Collis Roofing, Inc. <br />2323 W. Memorial Blvd. <br />Lakeland, FL 33815 <br /> <br />I, J. Douldas Lanier, the holder of Florida Roofine: Contractor License registration <br />number CCC058022, hereby name, constitute, and appoint Robert L. Sams, Dennis M. <br />Collis, Jay Co Mott, Anna L. Lones, Donald M. John, Martha R. Gartz or <br />Christopher Tyler Rackham as my attorneys-in-fact for the purpose of applying for and <br />receiving permits in my name. I hereby represent and warrant to the City of Zephyrhills <br />that all work is performed under my supervision, and that I shall be fully responsible for <br />the proper performance of said work. <br /> <br />Check one of the following: <br /> <br />( ) This power of attorney and authorization to draw permits is limited to the job <br />described as NIA <br />(Type of construction-location) <br /> <br />(X) This power of attorney and authorization to draw permits shall continue in full force <br />and effect til I deliver to you a letter revoking the power. <br /> <br /> <br />STATE OF FLORIDA <br />COUNTY OF POLK <br /> <br /> <br />Signature of Applicant: <br /> <br />-I~ <br />The foregoing instrument was acknowledged before me this 1K- day of A'J().Sf, <br /> <br />200~, by J;e.k.l1~Aa.s ~CU1J e r , who i~rsonally known to ~r who <br />has produced /'J I A as identification. <br />I <br /> <br />Notary-Public: State of Florida: <br /> <br />Sign ~ 'f! J1cU; <br /> <br />Print Irlarl hit '1? Go rf~ <br /> <br />Seal: <br /> <br /> <br />~. -11,,<< Notary Pub!lc Stale of Florida <br />~ ~" Manha R Gartz <br />:, r' .; My CommiSSion 00772865 <br />~..:..- oQ Expires 03/27/2012 <br />.FOFf\: <br /> <br />