HomeMy WebLinkAboutRoof Inspection Affidavit Planning' pm
e&,Develoent Services
Bu>tldmg&CodRegulation.D>!vision q JFK`. CF'
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Virginia AvenuCOUNTY
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D , Fort Pierce,,Ft 34982 °oA oP tea,
772 462 2165 or 772-462 2172 _. �����
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Rbbf INSPECTI6N.AFFI6 IT
LL S'LC 19Q:9 0526; � .
I:.. licensed as a n Contractor.�• En ineer Ar
- MAURICIO ORE:LLANA'
(Please print-name&circle(Ice6- type);; *F$,4 iBuilding Inspector
*General eutltlm
esrdertdl(qr k-,frng Font actoror ony rndwiduaI certifiedun-eP 468.F...ao make such an-inspeeti6., l
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On or about 927/201 ; I d'id personally inspect fide foof•deck hailin>
work at
6762 DICKINSON TERR PORT SAINT LUCIEzFL_34952,
(Job site addiress)"._
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Based upon thef:exam natlonJ have,detern inedahe installafiion;was done;according to tf a curr,'ent,
edtlan,of the,Florida.E-xlsting Building Code Secfron Z08or the product approval`5uf;mrtted (whicheve_r,..
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Inmost strigent):' •' • -` °• •
C;CC 1330623
signature,and Seal'= ' License#': .
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STATE OF_FLORIDA'
GOU_NTY Q ��,'�-A, LsG
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5wo�(n,to and su6scnbed before me;this day of 20 ,
b:Ce��?i'1.�1Nho rs personally know_ to;me or vuho has.pfoduced$
_. _. as Iddhtlflcation;,,
Notary PUbl c,State of FlbHdva
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nNumber. . Vis. (Seai� P _ m�^� ,•v''
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En °aY ; ' ,PAULETTE'BLAIB ALEXANDER:"
�° . Notary Public Stata'of Florida.
1` " , -: Comtflisston#>`FF X99660
4`.1;11, IF o My Gomm:.Expiras Sap Q.,20-20Q., f 'I
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