HomeMy WebLinkAboutKimes_OALOwner Authorization Letter
Job Site Address: � 6" I v
Homeowner's Name: A + ,
I,- 4C M-� due hereby authorize Matthew Shanley, Alpha Foundations
Specialists Inc, to apply for a permit to perform remediation work for my property located at the address
referenced above. Matthew Shanley is also authorized to sign any and all permit aplications and
documents needed to obtain the permit for this work on my behalf.
Sincerely,
(Home Owners Signature)
State of Florida
County ofJ3 (0a
=,
i�, � ir2 rrt g.2 �
Sworn to me on this R day of 2�� by 9VC1'\&Y A � m-P8 who is
personally known to me or who has produced the following as identification:
Nota ignature
Notary Name
EM--"
JULII: BARR:7rry public - 5tatp of Florida
nmmlStion n GG 243242omet, Expiros Sep 2B, 2d22
rough National Not
Assn,
(Seal)