HomeMy WebLinkAboutRoof Affidavit23.12.2019 09:36 AM 8637637662 P 1
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ROOF INSPE
TI
N AFFIDAVIT
DAVIT
s: Permlt #-A 6�- o 15�
� f�j°i li
en
ed
s a(
°F
n)contractor*/Engin
468 Building Inspector
(Please print name & circle license type)
ienerar, evlldlnp, Residential or Rooflno contractor or any Indlvld
at Cc
rtlfl9
Une
or 468 F.S. to hake such an
n or abodt 62 — CW,�20- I did person
ally
(1sp
ct
he roof deck nailing
(Date)
ork at: c
s)
(Job site addr
3sed upon that examination I have determined t
e i
staff
atl
n was done accordir
JIt(on of the Florida Existing Building Code SeCtlo
6
1 Ot
th
,product approval su
lost strigent).
License
#
signature anJSeal
'ATE OF F ORIDA
)UNTyoFbV&1.( ,e
F_
vom to ane{ su cribed before rite this 1 day of\144V4
20 O
r Who Is oerwnallykn
wn
d m_t
r
ho has produced
M as identification.
otary Publlrr, State FI Ida
gnature of N
)mmfsslon Number:
(seal)
i OS/19/201}
<"t• HEATHER EDWARDSON
My COMMISSION#GG215105
EXPIRCS;Moy21,2022
.x°iaS•'eondeelnrutktery PuWk UManvrlWre
t
eer/Architect
inspectlon.
g to the current
bmitted (whichever is