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License # CGC- 1513024 <br /> • <br /> 1 PERMIT AGENT AUTHORIZATION LETTER <br /> Gregory Moore CGC- 1513024 <br /> (contractor name) (contractor license no.) <br /> hereby authorize the following to act as my agent(s) in obtaining permits inC / ( , Florida. <br /> RON VADEN V350- 723 -47 -262 -0 <br /> LORI BOOZER B260- 521 -70 -592 -0 <br /> Allen Ebanks E152- 017-61 -374 -0 <br /> This letter supersedes any previously submitted letter(s) of authorization. <br /> This authorization is to remain in effect, unless cancelled in writing, by the undersigned <br /> STATE OF FLORIDA <br /> COUNTY OF PINELLAS <br /> Co acts sSi•• - ure <br /> Sworn (or affirmed) and subscribed before me <br /> This , day of :3"VA e_ , 20 /0 <br /> By / 7 ; r�WAIL e / d fA/L <br /> (PRINTEDRYPE A LICE SE HOLDER MAKING STATEMENT) <br /> Affix Notary Seal NOTARY PUBLIC <br /> (Si *lure of Notary) <br /> ( ( €L-1 A - l--(Ei Ic <br /> (Name of Notary Typed, Printed, or Stamped) <br /> My Commission expires: <br /> Personally Known OR Produced Identification <br /> LEIGH A. MIELUCC <br /> Notary Public, State of Florida <br /> My Comm FxpireS Sept. 12, 201' <br /> (Type of Identifiolike®f <br /> 2040 WEAVER PARK DRIVE • CLEARWATER, FLORIDA 33765 ♦ OFFICE (727) 451 -ROLL • FAX (727) 467 -0910 <br /> www.rollshield.com ♦ contact @rollshield.com <br /> FORM 0014 REVISED: 6/18/2010 <br />