HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITJul 02 18,03:21 p St Lucie Roofing P. 1
Plahlkht'& DeviWO&M-SeNicet.
Wifdft & Code-Reggdatift V"W
Fort PlerceI EL .34992
77.2-462-2165 or 772-46--2171
f5k: M- -462—OW-
ROOF MPECTION AFFIDAVIT
i
petrefft -# i SbC9 — 01 C- I
Frr40('W ['icensed'asa(n)contract'ne or*/EhgI er/Archited 5e print
name & circle -license tW6) ffisoac r
Pear
St
40c/" %rt,
c�Oent
*General, Bedding Residentfal or Roaring contractor at any indlVidualcertifted under 40 FS. to make such an inspection.
On or. ahaut - 1'&td Pet'sonaWkwathe roetde-ck nairya
(Datef i
warWat'. Y-,l �&
(job she a0drez)
--deterfnine,d
-( -, d. u
is most strigenij.
Winature and 5eaf
STATE Or, FLOki. A
COUNTY OF
Coo 133OLI(o
Lkense 0'
Sworn to.and subscribed beforeme-this J ( I "..), :,.Y
day.. of -
Wha-isPeFsonafly-knowrjrtarme&wfio--hasprodixced:-
as identification.
Notary 'Public, State of Fla id
SI9RatUTff Gf Notary:
Commission Number. (Seal)
En
CONSTANCE PROULX
My COMMISSION* IFF 160517
EXPIRES September 16,2018