HomeMy WebLinkAboutInspection Docs I
Mll_ Planning& Development Services
Building&Code Regulation!'Division
2300 Virginia Avenue
�' Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
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I, licensed as a(n)Contractor*/Engineer/Architect
(Please print Ane&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about I did personally inspect the roof deck nailing
(Date)
work at: O � ��.. /
(Job site address)
Based upon that examination I have determined the installation was done-according to the current
edition of the Florida Existing Building Code Section 611 or the product approval submitted (whichever is
most stri
gnature and Seal License#
STATE OF FLORIDA.
COUNTY OF
Sw n to and subscribed before me this�day 20_,
by r-�PAsQg o Who is person I k own me or who has produced
as identification. —
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Notary Public,State ofrida
Signature of Notary. �Q/ '�
Commission Number:
2%1aR y"fit-; LASHAHNA INGRAM
En 01/19/2011 ; Notary Public-State
,WE Mlorida
Y Ccmm.Expires Dec 20 201
of Fio . Commission#FF 2018
Bonded through National Notary
Y Assn..
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