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ROOF INSPECTION AFFIDAVIT
0711812018 10:23 ONSHORE R00 "NG SPECIALIST 5t (FAX) , - P.0011001 VNED 05Y Manning & Development Services Wilding & Code Regulation Division R�Fn,Fo 306 Virginia Avenue All ort Pierce, FL 34982 p01 ►72-462-2165 or 772-462-2172 sr < ceCobar ;ax:.772-462-6443 0? ent Sc-G �1 Re: Permit # 1 30 0 L( I cJOS" i2 (La `tnb�S� licensed as a(n)Contra or*/Engineer/Architect (Please print name & circle license type) *FS468 Building Inspector *General, Building, Residential or Roofing Contractor or c On or about t7l 1 G W $ I did (Dat ) work at: certified under468 F.S. to make such an inspection. Ily inspect the roof deck nailing (Job site argdress)( I Based upon that examination I have dete edition of the Florida Existing Buildin o is most sef�`-"� Signgfure and Seal STATE OF FLORI COUNTY OF Sworn o and subscribed before me this by p5.ei©ji[ ?G°[inailu who per! as Identificai Notary Public, State Signature of Not Commission Number: En d the installation was done according to the current :tion 708 or the product approval submitted (whichever C LC, ( � License # 20� v known to AIrwho has'produced Notary Public State of Florida Tdsha•Neal Hutchinson N My Commission GG 146949Expires'10101/2021