HomeMy WebLinkAboutRoof Inspection Affidavit Planningr Der►elopmeni Services L
Buitdng&=Code ReguiationaDivisiott
2Et0' r�nlia Avenue
3
_ 98
pierce r 2
ort EL 84
• 772-462 2165 or 772-4G2-27�
Eaxa7T2, 462 6443
ROOF°INSPECTION AEFfDAVIT
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�?cie County, Permitting
Re Permit# ��
J ?izt i ccensed as a(n)Contractor*/ ngineer/architect
{pleaseprin -name&circle license.type)
*F5468B;wlding Inspector
�eneraJ,Building,_Resrdeni al or Roofing Contractor or any md[Odua/certified under 468 FS to ni&ke such'nn rasp etron
On or about d� �� 1 did personally-inspect the roof deck 65i MA
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Based upon thatexamination l have determined the installation was done according to the current
editionof the Flonda Existing BuildingaCode Section 708 or the procruct appra�ai'sulimitted(whichever
is most stngent) _
to - -
Signa
STATE.OF FLORtDr
:couNrrxoF _ r
day Of-- _2Q
Sworn to acid subscn4ed before me thr
sonowato me`or who,has#produced
by_ as dent fiat onan
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Nota puf;lic,State of to
ry
Signature of Notaryy ;l T(Seal}A < � r
Commus�on Number. '
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�;� WAIN COUC
„ : _ :: _ f 7,' v• Notaryf J'�t41ic State oPFtorid _
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c;:0. My,Comrtf Ex`Qlres Nov 23 2013
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