HomeMy WebLinkAboutRoof Affidavit\nj q 1),Qr
Re: Permit# C 0$14 ct
V-1 lllicensed as a(n Contractor* Engineer/Architect
(Please pri name & circle license type) *FS468 Building Inspector
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*General, Building, Residential or Roofing Contractor or any individual certified under 458 F.S. to make such an inspection.
On or about 0, 1 ).LA , I did personally inspect the roof deck nailing
(Date)
work at: 30-7 [�oS2WDod1 ��. ��", 1 �CrCC`i= L
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Code Section 708 or the product approval submitted (whichever
is most strigent).
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF A( -%i
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Sworn to and subscribed before me this 2$ day of del „Il�f(� 20 Z0
by —O Who is personally known to me or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number: G(s 33
En
(Seal)
Y
otary Public State of Florida
randon Smith
y Commission GG 137433
xpires 08/23/2021