HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITP1,06pingA D401,QPmen.vSgrolzes
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n
2300'Uirginia :Avenue:
'
Fort
01,34092
772-462 2165 or
F#:"77.2-4612-0,441.
ROOF INSPECTION AFFIOAVIT*
Re- P6rrb[t.#. 1809.=0111'
1, KYLE WHITE' lidensed jt-'a(.n)'C-dht'r6tto-e* "E' in �/A "hit " i
(Pleas.O-Prifitn'ahie & chie licdips_d type)*.FAt8 . ../ . .,0 1 , rc i ec,
Bkolldlng,Jnsppctor
*&neral, Building,, Resld6nfidl or Roofing c6nfroctbror* any indfWduaitcerdfled under pp:mqke such on inspection.
On oralbout-11,10112.01-0. -'.'hMIih'F' I did porsoha Hy i0spectfhbe6dfdeck
Wate)-
work,at 10.38: WLY b M I N'G,... AVENUE,. ,PIERCE,
(Job: site-addres's.)
8NU . FORT
'C4," he...pprMnt-
tIdAWO .:on q �qrpn&to..,.q,
'd
edition of the F -W& E i fin, B H I todt�,Secftidn: 611-or th"e�-,�roduct-8pptoVal-.r'sUbMittod,,(Whi Wv f.. is*
NIS 9 . PIP PIK P
most strige.n-
Signaturib and S6al
,STA.Tt. 0F+'L'6111PAI.
CO,UN,ry'OF' ST LUCDIE
cep5e,"#
Sworn to and -,.'subs ' cribdd bef6re'md,thls ISt day,of NOVEMBER 2o`18..
,by KY L E- W__H I T E Who'is person ally. known! to. me. or -who -has produ'e!ad
as.1dehtih_c.6tIo'n.
Notary Public, Siatez6fFlorIcla
Signature of Notary:;[
C6ftimiSsl6n-N[LhIh.b,er: FF 936660
En,01/19/2011