CITY OF GREEN COVE SPRINGS 321 WALNUT STREET GREEN COVE Nailing Affidavit.pdf · 2016-05-16 · CITY…

Download CITY OF GREEN COVE SPRINGS 321 WALNUT STREET GREEN COVE Nailing Affidavit.pdf · 2016-05-16 · CITY…

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<ul><li><p>CITY OF GREEN COVE SPRINGS 321 WALNUT STREET </p><p>GREEN COVE SPRINGS, FL 32043 </p><p>Roofing Qualifiers Signature: ____________________________________________Date: _______________ Before me this _____________________________________ day of ___________________20___________ in the County of Clay, State of Florida, has personally appeared __________________________________________________________________ herein by himself/herself and affirms all statements and declarations herein are true and accurate. ________________________________________________________________________________________, Notary Public at Large State of Florida, County of Clay Personally Known or Produced Identification ID Type_____________________________________________</p><p>Before me this: Date: day of: 20: and affirms all statements and declarations herein are true and accurate: undefined: ID Type: Permit Number: Owner: Address: Check Box2: Check Box3: </p></li></ul>