HomeMy WebLinkAboutRoof Inspection Affidavit Pori:Pferce FL 349M
Sam -
ROOF INSPECTION AFFIDAVFr.
Re: Permit# "j L Lo I LP vGIP. G'
I�3censed a at�n,iCo-ntractor
(Please print name 8c circle iicense type) Ing inspector
�G_nqwW,&r'r rq Resfderr fW or RcoPrg cantirac€r F.S.to aerobe such an ihwecmm
On or about A- 7� �, , I did personally inspect the roof deck naiWw
J moi
work at:07 6L`-OWS2 12 I
{Sob site address)
Based upon that examination i have determined the instaiiation was oone according TO Tne currem
edition of the Florida Exist Building Co Section-611 or the product approval submitted(whichever is
Sig ature�nEf S¢` licm>Rse>
STATE CIF FLORIDA ,
COUNTY OF
swron to andsub tst .b z?, me this �� day.,`4on
0 Who is personallyo or who has produced
li as identification.
ar P iit,State of Rsr"ida.
Signature of Notary.: (J�
Commission Number: (Seal.)
�n Qz>rzs�zoa.
r Pyr AUDREY e.HUMPH REY
t- MY COMMIS1
N g FF
P EXPIRES:March 6 01
° C°° Bonded 7hru No y P bl t Underwr fere