Laserfiche WebLink
WAYNE <br /> Automatic Fire Sprinklers,Inc. <br /> Company's Name: Wayne Automatic Fire Sprinklers, Inc. <br /> • � Qualifier Name: Jason G Rountree <br /> ^ License Number: EC13005133 <br /> � <br /> I hereby authorize the Citv of Zephyrhills to issue permits to Sean Watson, Joe Taylor, Vincent Como, <br /> Greq Dvkes, and Jeff Kirkpatrick.Whose positions with my company are Desiqn, and Superintendent. <br /> . Check one. <br /> ( ) This authorization is good for the job at: <br /> (X)Any and all permits until further notice. <br /> The permit must be signed in front of the building official or his representative. <br /> I understand that I remain fully responsible for all acts performed under said permits. <br /> lz-�v� rs <br /> Date Licer}� older Signature <br /> � <br /> ***This action must bear the notarized signature of the license holder*"* <br /> STATE OF FL RI <br /> COUNTY OF <br /> The foregoing instrument was acknowledged before me this day of <br /> v� 20�by �U �-''e <br /> ( name of t e erson acknowl ging) <br /> �•�'��: MEGAN L GETTtNGS <br /> ( SE �•� _ MY COMMISSFON#FF231398 <br /> �y;��;;��` EXPIRES May t7.2019 Notary Sig ure <br /> � i.iC7i 39&-0�u3 flwNaNuarrySurvr:n..�� <br /> -Personally/Pr fessionally Known <br />' -or- Produced Identification <br /> Type of ID Produced , <br /> Regional Office: 3226 Cherry Palm Drive•Tampa, FL. 33619 • Phone: (813) 630-0303 Fax: (813) 630-0312 <br /> Ocoee • Pompano • Fort Myers • Jacksonville • Port St. Lucie • Concord, NC <br /> � <br />