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Bui I di-ng & Curie Regul ation a M 5ien
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Fart Ai eCe,L 34932
772-462-2165 4r 772-462-2172
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ROOF INSPECTION AFF I DAVIT
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(Please print name & cirrke Ctense tyw I ' FS4 69 IUlIdIng dnspector
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Ida d upon that exam I nation I have-determin ed t Fhe instal I ation was dajw acrort ing to the current
ed iti o ri of th e r lorlda Exs Sting 13u Ming Cade Section 708 or th a prod uct approvo 15v bmi d {wh ichewe r
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STATE OF FLORCA
-COUNTY OF . r4j—a '
sworn to an4l subscribed before me this � an of Q�txo AGO
by 4r� Who M Rea ndL krrawrn TO me )r who has prod used
as ideFd lcation.
Notary PuNic, Stare oT Fkwi s Qjha D
s�onazuf of Notary: -. _ NOTARY PUBuC
mmissl�n hl�rrrb�r_ _1 L- I STATE 0P FLORA
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