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HomeMy WebLinkAboutRoof Inspection Affidavit 1110212017 09:44 ftX) P.001/001 Planning&Development SeMces OuNding&Code RepWon DiVislan 2300 ViWnfa Avenue Fort Pkrc*,fL 34,98Z F-MIM11M, 77Z-462-2165 or 772-02-2:172 Fox-M-462-6443 ROOF I-NR=N AFFIDAVIT Re: PerM!t 4k hc_ensed as a(n)Contractor*/Ctlgineer/Archtted (Please print name%circle license type) *F5468 Bwld-Mg JnSpeMr *CVr,VW,BUWk-ff,J?eWdERN71 Or FQ*119 C09490br or any]HdM"WIffled tOokx468 F4 to Make 49ch 4w kVOcftL A , ©rt orabouidH I , - r I did personally Inspect the roof deck rigift work at: (job ske addrm) used upon that examination I have determined the WMIlation was done according to the current edidon of the Florida r-Asting Building Cbde Section 708 orthe product appmval submitted(wNchever is most strigent). CU, 1,390 Sfgnatu d Ucense# STATE Ofr- MA Sworn to asci subscribed befommeth&15t* day ofTnm�,Oja by Who is pemonaliv kT*m to me or who has pwdaced Merry Pubfic,State a signature Of Nota Cornnifssion Number. (SMO ET, TARA LEA MATTHEWS My t:OMMISSION#GGI 17632 EXPIRES July 24.2021