HomeMy WebLinkAboutRoof Inspection Affidavit PWnin8&Development Services
SuAdiftg&Code Reguia i Division t .
2300 Virginia Avenue
!COUNTY Fort irleme,FL 34982
• I
772-462-2165 or 272-462-2'.72
Fax:772-462-6443
&. ,FINEPECTig-N,AFE,iiSANlT
Re: Permit#��
licensed as a(n)Contractor*/Engine�,r/Architect
__....{,Z.Iease prEnt s+acne&circle!" a typej" *FS468-8uildlMg-inspector
*GcneroG Bvftding,Relsfdeniioi or Raafrng ConCadCtor or vrfy lndividua7 GCnified under a66 FS,to mak8 Sud)an f45P tion.
On or about q1/_(" .1 did personally inspect the mof deco tlaiijrt�.
work at:
(lob site address)
Based upon that examination i have determined the installation was done according to the current
edition Florida 7Existi Building Code Section 511 or the product approval submitted(whichever is
st stri }.
3
Signature an4 License#
STA'It OF FLORWA
ODUNTY OF
swor o an subSGri a befxsre me this„��day of 20-1-k
by J Who is personally knowo tA m r wbo has produced
as Gdetitfication.
(Votary Public,State of Florida
Signature of Natary.
CornmisMon Number: to (Seal)
En 02�I9/2t?71
�w
dry Notary Public State of PWft
jonflifilt 08^
My COMM"ft OF 9118026
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