HomeMy WebLinkAboutRoof AffidavitNanning erring & Development Services
Du f Id i ng & Code Begin ation D Fad sic e
I COUNTY 2.300 Ilirgfnia Avenue
# Fort Pierce, FL 34982
77Z-"2-2165 or 772-462-2172
Fax: 7722-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit #
2101-0390
ROLAND LEY
I � _ � lice rMse as .a (rti )nt rac#or* ngi neer{Arch iteet
(Please Print name & cl role license type = Fsa&E B Li 11d ing Inspector
* er,L tng, Re$;a%entra1 or Roof rip Cmnrr�rCrW W any rodirrrdr V Cen#.rfed Urrd'r 468 F.'5 to rake 5Leh arl rflSPeCUM-
on or about 1 :27-2021 _ 1 d id persoriaRy in spect the roof de{ k n,.i !jag
work at: 795 ondburg Lane
(Job site address)
Based up[) ri th at examiri atian I have deterrn ined the iostail ation wa s do ne according to the cu rre rwt
ad it.ion of t he Fin ri da Exist i rrg B Ljt1 d i n g Code Section 700 or th a product a pprova I su bmtkted {whic hexer
I s �s# strige rrt _
Signature and Seal
C C1331170
License a
5Tr4TE OF FLORI D
COUPM CIF
swor to and s bscrited befUr2 me thi day of. '
! j, . Who is of who has procured
as identifimlion-
Nsdaiyr Public, Stake of F Nand �4 * $RANDY WCAL
Signature of Notary: #, r..,'"�,i Dom -I n �C 1
Commission N urner' wr+r MrK p,"
Ell
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i- �ti oY*olrro&Who"rR�