HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITSep 0" 18,10:31 a St Lucie Roofingt- 7727n7 ' 7354 P.1
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Fort Pierce, FL M092
772-4622165 or 772-462-217Z RECEIVED
772-46Z-6441' SEP 0 6 2010
Permitting Departmenr
ROOF INSPECTION AFFIDAVIT St. Lucie county
11' censed'as a(niContracior4'/Engineer/Architecf
*��46,k 6uitding Inspector
(Please print itaIrrie '& clrdelti:Lense type]
*General, Building, Residential or Roofing Contractor or any individual cerdfiedunder468 F-5 to makesuch an inspection.
Oct or about
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(Date) tad personalty inspect the rmf deck "ifi
work -at- 9�36 Ek- Ait-OSC)
(Job site address)
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Signature and Seal' License ft
STATE Of-FLORIDA
COUNTY OF 5;+ C-AA Cr
Sworn. to, and subscribed before me this — LO day.of "t�- . 20�
byJr' tom/ Hctmpsbr) Who- is-persorrafly. knowrr. &-m-eor who. has prodixed -
as identification.
Notary Public, State of Florida
Signature of Notary: -
Commission Number: (Seal)
En
CO'
-% CON:0STANCE PROULX
My C EXPIRES ember 16,2018
My COMMISSION # FF 160517
EXPIRES Sept
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