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ROOF INSPECTION AFFIDAVIT
PI,qnrOqg,A QeveildpMehtServkev O.t,i.1.1diilg.�4�CiDde:gegpl.'a.t.lon Division 2300VirgOnia Ave.nue Fort; Pierce, ft M982- .772-462-2165 or 7.71-402.2.17.2 fb:k;772-;46,2-64r49 ROOF INSPtCTIOINIAFFIDAVIT qO Re: Perm-it.#MMO, h. DeeXeihn ,.:licensed,as a(n)Contrac'tor*,/Eqgi'nee.r/"Ar.th'itect,.! (Please print name& -.circle license type] r , , , , , qny IndiVidUdI., *Oener0l,.-gulldlhg,.�tstddntidl,d?R66J Conttactoror qg cerVft!d,&hddr468'F.`Ss,- On or:about. `46 [Aid� personally.' 111810.90 the.,-rbbf.dedk,hall in Mato 835 SO Th3rra.ICA,, Fort Osed. Upon thatenr editio1 110 Florida Sign STATE OE COUNTY'OF ;Iliq FRECEIVED CT 15 2018 .- Lude County, Permitting SCANNE IF? By 39 Lucie county I hqve;detOnih0d�the ihstallat!pn wa-'ST,dOne,acood ing : otha curtent Bv V g-, produ '.,PP W0015,su b6litted (whichever 16 -r the:,- 0& 6 P 0 -.0C 138'3, .140 8 License. # Ib6d.be org,'�. Sworn-foarvd.subsc' me,this�day oio,0-14 -2t b y �.�,Who.is'lplerson-allyknown .td."- Me - who h produced. .o Notary -Publici.-Stke of'Florida- Si nat r of, ,9. _ ' y. iB -rNqtary-- C.9nihil.ssion-Nurnben, En TERESA BENNIGAN Nat" Publ, ldState of F1666, Commission 167257 Bonded