Laserfiche WebLink
09- 20 -'10 15:45 FROM- T -550 P0005/0006 F -745 <br /> RO jortH <br /> HURRICANE SHUTTER MANUFACTURER <br /> Anterior's Of choice for penilty <br /> License # CGC- 1513024 <br /> PERMIT AGENT AUTHORIZATION LETTER <br /> 1, Gregory Moore CGC- 1513024 <br /> (contractor name) (contractor license no.) <br /> hereby authorize the following to act as my agent(s) in obtaining permits in zo Florida. <br /> NAME OF AGENT DRIVER'S LICENSE NO. <br /> RON VADEN V350- 723 -47.262 -0 <br /> LORI BOOZER 8260- 521.70 -592.0 <br /> Allen Shanks E152 -017- 61.374.0 <br /> Stephanie Koljonen K425-792-89-728-0 <br /> Jim Coyne 294- 730 -17 ( Texas) <br /> 16rehj Coc"t-- bs C 519,- ovici- d\a -b <br /> This letter supersedes any previously submitted letter(s) of authorization. <br /> This authorization is to ain in effect. unless cancelled in writing, by the undersigned <br /> STATE OF FLORIDA <br /> COUNTY OF PINELLAS <br /> ontractors Signatu <br /> Sworn ! f affirmed) (or armed) art u m <br /> bscribed before e <br /> This pip f- , 20 / <br /> BY , r <br /> IP'AINTED/MEDNAME ENGENOLOERMAKINGSTATEMEN ► j <br /> Affix Notary Seal NOTARY PUBLIC 1 <br /> .y« LORI BOOZER rL0 ,— e III/ 1 <br /> .1. MY COMMISSION # DD899026 (Name of Notary Ty mud, or Stamped <br /> ` •• � EXPIRES June 15, 2013 <br /> )407) sse.01bs FbndanowrySergoe.com My Commission expires: <br /> Personally Known Produced Identification <br /> (Type of identification Produced) <br /> 1151 Kapp Dr. • CLEARWATER, FLORIDA 33765. OFFICE (727) 451 -ROLL • FAX (727) 467 -0910 <br /> www.rollshield.com•contact@rollshield.com <br /> FORM 0014 REVISED: 9/16/2010 <br />