HomeMy WebLinkAboutRoof AffidavitPlanning & 0eve lo0rnemt Services
G jai I di ng & Code Regulation Division
2300 Virginia Avenue
COUNTY I
Fort Ple rce, FL 34982
7 7 2-462-2165 or 7 7 2- 462-2172
Fax: 712-462-6443
RO F INSPECTI0N AFFIDAVIT
Be; Permit 30
2101-D253
ROLAND WI1 EY licensed a s ] Contra t�pr� ngineer/Architect
r (Neas�e print r1$r ne & circle license type * F5 69 u ildin Irispe{tor
' Genefg ApiVing, mideiritW Q' R i'rnp C'"rGttw Ar dREr mdividuoi certified under 468 P. S. to m&ke such " i-ptclifm.
On or abou t 1-21-2021 , 1 did person -ally i n5p-eet the r9pf dark naik g
� Date)
work at.
3401 Cortez Blvd - GARAGE
lJob site add ress)
Based uporti that exa rn i nation 1 l—Lav* determinuld th a ins# a I lotion wa-5 d.Dn e a ccvrdl n6 to the Current
edition of the Florida Existing Bu I Iding Code meet ion 708 or the prod uct a pp royal subm Ftted 1which ever
is ost strigerit].
Sign atu re and Seal
C C 1331170
License #
STAVE aF FLOT
COUN!" Of
Sw arrd tacribed afore rme thi dary of 2djj)
by l ,r Who is 1�ersonallyr knownto me or -who has produced
as identiFcakiork.
Notary public, 51ge of Florida T R 13RANGY MOORE
Signature of Notary:- . Ca Moo 102830
commission Number: ty0m Mer 0, =1
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