HomeMy WebLinkAboutAUTHORIZATION FORMGROZA BUILDERS, INC.
51 I SW Port St. Lucie Blvd.
Port St. Lucie, FL 34953
(772) 336-7653 ph - (772) 336-2272 fax
CGCO23870
Date:
To Whom It May Concern:
I (We) �eo(G�. a,,c(, iL hereby authorize Croza Builders,
Inc. to act as my (our) Ceneral Contractor/Agent for the Health, Utilities, Planning &
Zoning, Building and any other departments as required to obtain hermits for the
construction of a new residential home located at:
Lot: Block:
Address: 10 at o
"Thank You,
ar 1-bn
Signature
State of:
Unit:
County of: S-\-\-,�CJ E—
The foregoing instrument ws acknowledged before me this L4 day of Al DV
20 by ��oc��- ( e�q �t0�(j-��� , whorn O is personally known to me, or
has produced Ac+Ce nc as identification, and who did not take oath.
Notary Signature: - -(Notary Seal)
Y"N�w BRIANNA GRAHAM
....,a
°� MY COMMISSION #GG089105
3 EXPIRES: APR 02, 2021
Bonded through 1st State Insurance