HomeMy WebLinkAboutRoof Inspection Affidavit L .,_�. . " Pla[nning& DevetopmentServices f
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Build�n .&-Code=:Regulation:Diu1 ion2300 Virginia avenueFort Pmerae,FL 34482
772=462 2165 or 772-462 2172 .
Fax.772 462 6443,. i
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ROUPWSPEdI AEF'IDAVIT RE�F�tfP- 1
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=licensed as.a,{n)Coritractor*/Engineer/Architect =?
Please print Warne.&circle license a � *.
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g fingConttaCtororanyf»dwldualcertffledunder468,F.3 tomrikesuchan/nspectron
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.,On or about Z' ` 2—oA 1 did personaily inspect_the roof deck nailing i
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` Based upon that exa'rriination I have determined'the•:ihAallation was done`accordingtathe cufrent
edition of the Florida Existing.Bu'iiding Gode Section:708 or tale product approval submitted (whichever:. "
is most strigent)-40
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1. _CCC 1325'
. ,Signature and Seat ' License# ,
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' SPATE OF FL'0' DA
COU�fY�QF M�2--t7�1 !
Sworn to and subscribed before me this day.of
by.b - - Sr>� Who is peisorially known to me orwlrho ha"s produced ;I
71 as i enttflcatjon
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Notary Pabltc,State of Flori od
"'"" KEGAN CRAWF
MY COMMISSION N=
Signature 6i Notary explRes o�eo �03 2022' j
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CoPnmission Number (-
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