Limited Power Of Attorney - City Of Oviedo

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LIMITED POWER OF ATTORNEY
Date: ______________________
I hereby name and appoint ________________________________ to be my lawful attorney in
fact to act for me and apply for a __________________________ permit for work to be
performed at the location described as:
________________________________________
(Address of Job)
________________________________________
(Owner of Property)
And to sign my name and do all things necessary to this appointment.
________________________________________
(Signature of Certified Contractor)
________________________________________
(Printed Name of Contractor and License Number)
STATE OF FLORIDA
COUNTY OF __________________
The foregoing instrument was acknowledged before me this _____ day of ____________, 20 ____.
by _______________________________, who is
personally known to me or has
produced
_____________________________________ (type of identification) as identification and who did
take an oath.
______________________________________
(SEAL)
Signature of Notary Public, State of Florida
______________________________________
Print/Type/Stamp Name of Notary Public
October 2009

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