HomeMy WebLinkAboutPERMITING AUTHORIZATION FORMSCANNFZ
LSCI, Inc. db.a.. SunTee
4625 FastBay Dr., Stec 305.
Clearwater, FL 33764
Solar license #CVC056656
Electrical License It EC13001300
AC License#CAC009274
LIMITED POWER OF ATTORNEY
PERMITTIN G AUTHORIZATION FORIR -
owner of the property located at
.LA&-w do hereby authoriz
department of LSCI, Inc. (listed below) to sign and apply for a building per
authorization is valid ONLY for the purpose of obtaining a permit to perfa
installation work contracted for. The ONLY permits) which may be applie
of this letter are those which the authority having Jurisdiction (City or Cou
necessary under the current Florida Building Code, given the scope of wo
Contractor (LSCI, Inc,) will be responsible for any and all fees associated w
application. This authorization will remain valid until said permit is issued
Building Department, or until thirty (30) calendar days from the date lis);e
transpired, whichever is less.
inGc�. C -
e
r
t�jhe permitting
rriit on my behalf. This
III" the solar
d for under the terms
Inty) deem(s)
Fk contracted for,
ith this permit
by the respective
d below have
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I
),aiiej D
Homeowner ignature Printed Name Date
Not ry as to Owner
Sworn and subscribed
of �9�
known or ( J prod
Mgr ws, Notary PublicsSmotQNDEZ
�to of Florida
`f��oALVARmmisfo Ham' 125150
went Permit Dent:
'? Expires 07117I2021
OF PO �t
aymond Mend - CVC License I
Douglas Dankner -,EC License I
Pilar Hernandez - Permit Tech
Ariel Dent- Permit Runner
Helena Wirth - Permit Runner
atary Seal/5tan1l)
me this, day
_ and [ ] is personally
as identification