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l���'�, � _ _ - <br /> ��,.;.. � ' A t -� '� � <br /> � F'z�a�*w' ��y�;i_ ,l'; _ - <br /> <743FS. ��� �.�'.n� r's °� '- <br /> ,i.ri� u ��y� ,�:',: �' ./'� _ _ :� .�;,p,}�� <br /> ��,.��{tY ; ..b _ . �-s..�:, <br /> � �c � i�`� �A' r 7 ,�. s-e+� +r= License4CV-00566E7IFL <br /> �'3^*�_� `� � � � �� ��'�>�s'�`� Keeping.You in Hot Vllatei <br /> 1�, � ��� � Keeps Us Out <br /> _ 3.. Y,�'�-5 <br /> Americain �olur Energy; LLC `r�et�;�° . <br /> . °,,� _ <br /> � SOLAR CONTRAGTORS = =�°��T"'""�----- =ru _�'=' <br /> ��� �-�'� r.r� <br /> Licensed%/nsured%Bonded - _- II��' <br /> �v'"�_, - - <br /> `Sb/a'imeansFieeEnerov . - :._..�__._._,___�-�.__��_���___--._ <br /> l�!` G��� �� � � - �U��GC.t(l � `�= <br /> � 5 8 �i��c� <br /> �F��rh� ��L 33��4� <br /> RE: Permit Agent Authorization Form <br /> I, Labron E. Taylor, Jr., a state certified solar co actor, License Number CVC056667, <br /> hereby authorize the llowing to act as my agen (s)in obtaining permits in <br /> r ,Florida. <br /> Name of Agent Driver's License No. <br /> r` �S`Q GGe c/(.¢� C11"` J� <br /> STATE OF Florida <br /> This letter contains the names and identific tion couiv�oF roLx <br /> numbers of people that are authorized to pull pe its Sworn to or affirmed)and subscribed before me t6is_J , <br /> day of �� 20�by <br /> in my name. This letter supersedes any previ usly <br /> submitted letter(s) of authorization. This si ned �' �''� ��` <br /> authorization will remain in effect until cancell d in �'rinted/I'yped Name of icense Holder Making Statement) <br /> writing by the undersigned license holder. No PUBLIC <br /> (Signature of Not <br /> � _Donald Lossing <br /> (License Holde Signature (Name of Notary Typed,Printed,or Stamped) <br /> My Co �ssion expires: <br /> vv. j�o �o �' <br /> DONALD LOSSIfVG ,r � <br /> NOTARY COMMISSION#FF58370 PersonallyKnown_X ORProducedIdentitication <br /> Pueuc ��� c���mber 16,2017 <br /> STATE OF <br /> FLORIDA BONDED THROUGH <br /> RLI INSURANCE COMPANY (Type of Identification Produced) <br /> 5109 Meadows End • Lakeland, FL 338 0 • (863)-859-7800 s F� (863)-816-5426 <br />