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V � • � I <br /> AMERICAN CONS RUCTION GROUP, LLC. � <br /> 7451 Osteen Road New Port Richey, FL 34653 <br /> 727.267.7851 � email:jdh@JLHENRY.com <br /> General Contractor-CGC1511301 � Roofing Contractor-CCC1327996 <br /> Swimming Pool/Spa Contractor-CPC1457825 <br /> I Jack D. Henry being the State certified qualifier of AMERICAN CONSTRUCTION GROUP, LLC <br /> additionally give full authorization to register my�contractor licenses on my behalf and to act-as my <br /> authorized agent regarding all activities require by state and local govemments in obtaining permits and <br /> the other duties that may be required. � <br /> This authorization is given to the following indivitluals and/or companies <br /> o Dave Renczkowski <br /> o Tim Martin <br /> I o Chris Higginbotham <br />' o Rhea Mougros <br /> o Larry Wilton ' ' , , <br /> � <br /> Licenses held by AMERICAN CONSTRUCTION GROUP, LLC I <br /> General Contractor: CGC1511301 <br /> Roofing Contractor. CCC1327996 <br /> Swimming Pool/Spa Contractor: CPC1457825 <br /> Authorized individuals will remain in full force a d effect until written documentation is submitted <br /> withdrawing the authorization. The license hold r is responsible to keep all information current and <br /> correct. <br /> , <br /> I <br /> I Signed under seal this � day of ' �2014 <br /> I <br /> I <br /> License Holde <br /> I J D Henry <br /> STATE of-�I�I Cl�- <br /> County of L(� <br /> On I � �� ,201�before me, �... � ,personally appeared,Jack D ' <br /> Henry,personally known to me(or proved to me on the baSIis of satisfactory evidence) e the person whose name is subscribed <br /> to the within instrument and acknowledged to me that he e�{ecuted the same in his authorized capacity,and that by his signature on <br /> the instrument the person,or entity upon behalf of which person acted,executed the instrument. <br /> WITNESS my hand and official seal. �. TERRI CHRISTIE <br /> � ,,\\���P/ , <br /> J?�'�a `U��4�: <br /> /1 . : Notary Public-St�te of Florlda <br /> Signatur��� / � , • ;e; My Comm.ExP�res Dec 2,201T <br /> — '%'+, o-:. mmisslon N FF 074103 <br /> Affiant Known�Produced ID Type o ID -�� i � _ <br /> ''�%°��;,`.°•` Co <br /> i <br /> _ ,. <br />