HomeMy WebLinkAboutRoof Inspection Affidavit (2) "
Planning:&f3eyeloetit Services
.Code-Regtilation Division
230DVirginia Avenue:
ICOUNTY r ' t `
Fort', FL$4
771-4622165.or 771-4652417Z,
-Fax:;772-462-6443
ROOF iNSPEcriO.N-AFPIDAVIT
Re permit. -
�JJ )lensed'. a n Contractor / .8. to sneer Architect
as,
(plea pcirrt name.&circle license Wpe) "ES4fi8 euildinglnspector
*General;8u11iiing;:ResJdentJal.oiRbojtng Cos trpttoror'ony",lridlvtiluat certi,cO rider<68 F4-to mdke sud dIJ Msprctlorf.
On or about' "' 7' , I d d personally nspect'the,coof desk:nailira ,
(bate]
worse of
04*
(Job site address'
Based_upon#hat ex=amination-I have�ieterm oediihe insitail tion was:lane.'a'cCording to the current:
editri'ii of tha Florida`Ex�sting Builj&g l=ode Section 708_or the,prdiluct`approval:submitted:*hichever
Is,m st3 _ Ont).
5inature and al License.#
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SPATE QfFLQRID
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Sworn tti atzdsu nti d before<ine tftis� ,daybf
by 7,'M6 l4ersonally known to me of W, basproduced
as tdent ncation
;Notary.Pui�tic,�fate s' ,.�-
5lgnature
co-mmissionWiLi Eber:. '
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