HomeMy WebLinkAboutRoof Inspection Affidavit e
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`Plann, 'opment ServWes_ `
Builth• Code; latton D sion::
2300`l/irgiriia venue
�'; :Fort Pief ce, FL 34482 ,
+ - i ;772--4,62` 2165 or�7.72-462 2172
�,� � ,- °Fax.:772 462 5443;: •
R (OFjINSPECTION'AFFI'DAUIT's
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lau�rcio(oReLLNa nsa( :jontractor*;Engineer/Architect
liceed as
(PI ase pant name&arcle license type} FS468 Bui ding frispecto
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*`Ce erol,;BuildJn'g;.Resrdentrai'a"r Roofng Contrortar or ariy mrliy�duot cert�fed under 4S8 F.'S_to make such_ari'xfspecEon:.
On orabout �- . I did personall rns ectthe roof deck naiCi'ria
:..Date -
wor,,at 8294 SANDPLNE CIR,PORTrS`AINT L--UCIE FL 34952:'
(lob site address)
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Based u on'tha. examination I have determined tC a installation was done according to the current
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edit�on of tate Flo"rids Existing Burld�ng Code Section 708-:or the;product approval submitted (wF icfiewer
IS most Strlgent)
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CCC 1330623:.
Signature_and Seah license
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STAT OF FLORIDA
COUNTY OF 1 Ll1.e
5wo�.?ao and". 'bscrrbed efone me this day f.(j ,GI
by 1V�ay.,Cl�tO.. -CC'_��Qr.�Nlho�is personally knownto me or who`has:produced
a- as ides ilficatiori.
7NotaEy Public,Sfafe 6f Flori '
Srgn�ture ofNotary I'
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