HomeMy WebLinkAbout2546 Clairmont Ave (2)REGARDING ROOF DRY -IN AND FLASHINGS
INSPECTIONS.
COMPANY: (WL'SC O r r 1 00w sky
AFFIDAVIT
LICENSE NO: 6 6 0 J 13 3
PROJECT INFORMATION
SUBDIVISION: ADDRESS: /
O . a, 3 0, 0 - - 0.3 c
PERMIT NO: 0 / — -! 7/ LOT:
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11 /7K (/ -es eO , affiant, hereby affirm that I am the duly licensed contractor of record for the above reference
permit, that all of the foregoing information is true and accurate, and that the dry -in, fleshings at -the above referenced address/lot has
been installed in accordance with all applicable codes and standards.
CONTRACTOR: J o lx.'e S<O
inted name)
ignature)
STATE OF FLORIDA '
COUNTY OF
This instrument was acknowledged be ore me this Yday of ..Gp .0`% , by the above referenced
individual, rWAR PS Cv who acknowledged that he/she is.a duly licensed contractor with
and who acknowledged that he/she authorized to execute this document. He/she is
either personally known to me or produced CL L Wo`t30'
he/she
y as valid identification_
WITNESS my hand and official seal this I'_.) of _
ROBIN K AUSPN
r W COMMISSION / CC 967870
EXPIRES: September 17' 2004h• ,NftryPubkUndwrft.
90/9 M2_ OF4
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Printed
Name: My
Commission Expires: