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ROOF INSPECTION AFFIDAVIT
�l SCANNO Ptanrnng & De etppment. 5ervtces St L-u j . � lr Budding'&,Code: Regulatoti,i)tfnsfon 2300 ��rgin�a;Avenrre farE Pierce, Et: 3:4St82:. " 772-4�2 �16S:ar 772 462 2172- . F,alcc ..7,7 J462__fi:4'43. EANNA M, IE G1 ENS MY COMMISSION # GG 022023 INSPECTION'AFFDAVI 9;F� ; EXPIRES: December 16, 2020 — - Bonded Thru Notary public Underwrilorr Re, `Rerrrjit # .1:801-0222 - .. t LarN Neese ;licensed as{ailjCoFltractot'JEngi'Ttearji4rehfitiec€ (Please print Owe,, clrcleaieense;.tipe)'{ *FS468 B:uiid�ng_lnspector `*Generalx8blldirge•Reslden04lorRoofngCon#raclaro'rtrnyindviduolceict�edynde�468F5 torndkes_ucharr;Ynspect(o sOh o� a{bout 02/01 /18 dove inspect the roof deck hall nl? - _ 3 650 7Eastern Bluebird DR .,worl4 at , :..�. _ r • {1ob`ste addtessj - - Based,u on that examination i haug determ.420 theirnstailativn was done aecordr�lg to ttie;surrerit: 1,611;or the product approval submitfietlr(whiche�er-is CCC1330608 ., .�rxdGa. a,_�eai �- r STATE OFFLORIQA COUr(TYrOF >Sinrom �o and subscritted'before me this,.02 by'�+ci%'�, C N�es.�=_'tt Wltiisper Notary Pl-tblic, Stafe , d "'ns Stgnatpre:af�totary `�` °'0M" HEA'THER'RIt�Gr, t.