HomeMy WebLinkAboutRoof Inspection AffidavitPlanning & Development Services
Building & Code Regulation Division
2300 Vireinia avenue
TC1 7IF
DEC 2 �01�
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT DEC 2 1 2017
BY: .......................
Re:
,.:licensed as n)Contractor Engineer/Architect
(Please print name & circle license t *FS468'Building Ynspector
n__:,J. :-I >......,.. ;ndi:drl: u.l mar+;f;ort :,ruder ARQ CC fn m Po enrh nn'incnorhinn
Yon nr;;hniif {� l didpersonally inspect the rCivl deei< iiailin
Pate)
work at: �\�u-eA2w
(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 st)r�e�^t�
Si fnature/d Seal
_STATE -OF FLORIDA
COUNTY OF fA- I,ALj
License #
Sworn to and subscribed before me this �— day of"��" 20j,
by _C�nyon� Who -is -oersona{1v� own -to -me -or -who -has produced
as 1A.n+ifl'o+;,,
Notary Public, State of Florida
Signature of Notary:
En
ASHLEY LAWRENCE
NOTARY PUBLIC, STATE OF FLORIDA
COMMISSION NO. GG 29721
MY COMMISSION EXPIRES SEPTEMBER 13, 2020