PERMIT DOCUMENTS CS!.Y116):
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City of Boynton Beach
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�"r°N `` Building Division
LICENSED ROOFING CONTRACTOR
AFFIDAVIT
ROOF METAL & ROOF SHEATHING INSTALLATION
(EXISTING DETACHED ONE & TWO FAMILY DWELLINGS ONLY)
The City of Boynton Beach offers progressive inspections- call 742-6355
• To: City of Boynton Beach, Florida
Department of Development- Building Division
Field Inspection Section
100 East Boynton Beach Blvd., PO Box 310
Boynton Beach, FL 33425-0310
Re: Permit No. 2017 3208
From: HYER QUALITY BUILDERS INC (Contractor)
919 NE 23 TERR, POMPANO BEACH, FL 33062 (Contractor's Address)
GOLDBERG (Owner/s Name)
718 SW LAKE CT, BOYNTON BEACH FL (Property Address)
CERTIFICATION SELECTION: (Please check all that apply)
*Certification of roof metal installation, flashing, underlayment.
■❑Certification of re-nailing roof sheathing, and removal and replacement of damaged or rotted wood.
['Other
WILLIAM HYER , am certified as a roofing contractor (License No.
CCC056660 ) and do hereby certify that all roof work (as indicated above) has been performed
at the above address in acc• •ance with Chapter 15 of the Florida Building Code, Existing Building, as
amended, and e-r -M.nufacturer'. Specifications. I understand that the City of Boynton Beach offers progressive
o r7 Ions. I ha -,tified the owner of the property of this affidavit
/2012017�
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Signature of Qualifier / Date
STATE OF FLORIDA, COUNTY OF PALM BEACH
The fore ment was acknowledged before me this 9/2072017 (date)by WILLIAM HYER who
is ersonally known to me or who produced (type of identification)as identification
an o no a e an oath. / / (SEAL)
Signature of person taking acknowledgemer i • stars
KAYUWMICHELE YANGAfIE11J
Name of officer taking acknowledgement—typed ,rinted or stamped MY COMMISSION If GG 128255
Title or rank Serial number O PIRES:July28,2021
Bated Thu Nolmy Pilo Urde 4/&s
100 East Boynton Beach Blvd,PO Box 310, Boynton Beach FL 33425-0310 Phone:(561)742-6350 Fax:(561)742-6357
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