HomeMy WebLinkAboutRoof Inspection Affidavit 0211612017 16:10 ONSHORE ROOFING SPECIALIST (FAX) P.0011001
i
Planning&Development Services
Building&Code Regulation Division
2300 Virginia Avenue
O 1k - Fort Pierce,FL 34982
----- — - 772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF.INSPECTION AFFIDAVIT
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Re: Permit.# 1A10' 0a-'L
licensed as n)Contractor* Engineer/Architect
(Please Orin name&circle license type) *FS468 ui ing 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: 8 R S• D4,A)-e� (�►i' gd S
(Job site address)
Base pon th t examination I have determined the installation was done according to the current
e ion of the lorida Existing wilding Code Section 611 or the product approval submitted (whichever is
ost strigen .
J Signature and Seal License#
STATE OF FLORj[�A� /
COUNTY OF,
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Swo to Nsijbscribed hdfre me this day of Y �/ "� 20byy ►nos 1�1 Who is personally known to me or o has produced
' asidentifica / 16 �01�
Notary Public,State of FI da
Signature of Notary:
Commission Number: Z C- 2 7 (Seal)
En 01/19/2011
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SHREISS 5CF1W
.r° c• tyatar)Public-State of Florida
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