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Randa/l Mullins Construction, lnc. <br /> A Subsidiary of Home Perfo�mance Alliance, Inc. <br /> 13575 58` St. N. Suite 191 Clearwpter FI 33760 <br /> (727J 538-4140 ext 19102 Fax (727J 538-4217 <br /> Stafe License #CBC1252808 <br /> I, Randall Mullins, of Randall Mullins Construction Inc., do hereby designate the following individuals as <br /> having the authority to sign and submit applications and related documents for the purpose of obtaining <br /> permits under my Florida State License number CBC1252808. I further acknowledge and accept, as a <br /> licensed contractor, my responsibility and liability for each project permitted under the authority <br /> designated on this form, and that my failure to assume and fulfill said duty may be grounds for the <br /> initiation of disciplinary actions against my contractor's license. <br /> Designated Signers: <br /> � ��(� �.�� � <br /> J �/ \ <br /> 1+ � <br /> '� ° ' C.�� ��.� � <br /> By: _ � � ��( I (Yl,� �� ri� � c `' � <br /> (print name) (Signature) <br /> State of Florida <br /> County of Pinellas <br /> This instrument was sworn to (or affirmed) and subscribed before me thi���aY of (,' � <br /> 2011, by Randall Mullins. <br /> �' <br /> � / / <br /> � — _�� <br /> Notary�ublic <br /> p� P V Notani Public State of Flcnda <br /> Personally Known or produced Identifi = ry�: Virginia Gonzalez <br /> �'- Commissi�� OD886023 <br /> ' �Fr F �O�' Fxpires a6/25i2013 <br />