HomeMy WebLinkAboutRoof AffidavitR I a nni ng & DeveloPrnerrt 5ervi-e5
Bu kld i ng & Code Regu I ation Dix I sic n
2300 I rgin i a Avenue
1-ort PI e rce, F L 34597
* 77 7-467--1165 or 77 7-461-117 2
Fax; 772 2-6"3
ROOF INSPEC71ON AFFIDAVIT
Re; Rermlt 9 101-0473
ROLAND WICEY , livend as a( �n rrtractor * Erigi nee r/Architect
(plea 5e print name & el rcle license type tfS4M $uilding Inspectar
4 GrneFo, Mbih&g, R&LkAenft? or AMfJag CMV&Crer or vim' it flodM refs r 4¢8 F.S. to rnoke sLICh Qn ins tion.
n rah about 1-19-2021 1 d i d p ersonally inspect the rocif deck rr xJJ1
work at: 6402 Fort Piero bled - Detached garage
(lob site ad -dress)
B a sed u pon t hat eta m i nation, I have dete rmi ned the i nstallation was done according to t he Uur rent
ad iti o n of the F Iorid a Existing Bu ild i ng Cod a $ettio n 708 o r the produ et appr-oval sorb m itted (wh icheyer
i5 M O5t Stria -ant).
Signature and Seal
CCC 1331170
LiMinse 9
STATE OF FLVFU
COVNTY OF
_&, 4A)
$war nd subwibed before me this day ¢f
by Unno U11 who is per-sonally known to me or who has priodueed
�5 i��n#I a�4n•
Notary Pubfir, State of Fkari
igr1a[ure of WAVY;� ,rfi;,'ti+ eF;p114 r MOOAE
�ommissivn Number: _ �� i C7rm40an * 1029�?
FL3pPu k%y �. 2621
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