HomeMy WebLinkAboutPERMITING AUTHORIZATION FORML80,Inc db.a. SunTee SCANNED
By SUN -TEC
4625 EastBay.Dr., Ste, 305 � �oQ�l '� ,o
SOLAR ENERGY
Clearwater, FL 33764'RECEIVED
Solar License #CVC056656
APR 0 5 2018 Electrical License # EC13001300
AC License#CAC009274
ST. L ,cie County, Permitting
LIMITED, 0OWEI J t OF ATTOMY
I, A97A�-� d-"1ni , owner
(listed below) to sign and apply for a building pei
of obtaining a permit to perform the solar install
applied for under the terms of this letter are tho
necessary under the current Florida Building Coc
will be responsible for any and all fees associates
until said permit is issued by the respective Build
listed below have transpired, whichever is less.
_--) - — J t k
AUTHORIZATION FORM
the property located at
do hereby authorize the permitting department of LSCI, Inc.
nit on my behalf. This authorization is valid ONLY for the purpose
tion work contracted for. The ONLY permit(s) which may be
which the authority having jurisdiction (City or County) deem(s)
given the scope of work contracted for. Contractor (LSCI, Inc.)
with this permit application. This authorization will remain valid
ig Department, or until thirty (30) calendar days from the date
Te rr• S"d warfz 4 124 2-Gi fs
Homeowner Sign ture I Printed Name Date
Notary as to Owner
r PC Notary Public State of Florida
1p "h POLLY ALVAREZ HENANDEZ
'y�ryy� My Commission Ci6 125150
`OFF%: Expires07117/2021
Notary Sea]/Stamp
Sworn and subscribed before me this G day
of A6 2A and [ ] is personally
known or [ ] produced uLI as identification
Current Permit Dept:
Raymond Mead — CVC License Holder
Douglas Danker—EC License Holder
Pilar Hernandez — Permit Tech
Nacketa Clarke — Permit Tech
Warren Vanderplate — Permit Runner
Shyla Corson —Permit Runner
c