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Building BSc Code IKegulatiun Divis;on
Z3ov virginia Avenue
1` A Furt Piercc, FL 34UHZ
//Z-45Z-2Tb5 or //Z-4bZ-ZT/Z
Fait: /72-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# GOo 6 oe2-7(d
licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
'General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On u, about _ _ _ I did persu, ally inspEa the fwfdeck`iia6 �
(Date)
work at: - t'l tkvLL -D e—
(jib a;te address)
Based upon that examination I Have determined the installation was done according to Lhe current
Edition of the ridq'Exis wilding LFjdc Section 708 or the Nrodutt approval submitted (whh-hEvur
is most "i nt).
ef a S- 0 2 9-4
5igna and bear LiLanse
slat E OF rrOKiYA,) ���
COUNly L F
Swop4o and sub�c i.beOd before me this 2— day of 20 G�
by f'—tVL Gv1 Who is personally known to me orw o has duced
as identification.
Notary Public,State of lor'
signature of Motary:
�A:�I�
Comm�iis.;an Member: I (seal)
En
9:c
RENEE PHILLIPPE
ary Public,State of Florida
ommission#GG 179276
comm.expires Mar.A.2622