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HomeMy WebLinkAboutRoof Inspection Affidavit i
Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
g © Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 11 01Q -M t I
I, SOH TV N rC. ,licensed as a(n)Contractor'*/Engineer/Architect
(Please print name&circle licensetype) *FS468 Building Inspector
*General,;Building,Residential or Roofing_Contractororany individual certified under468F.S.to make such an inspection.
On or about 3' ' 1 Z , I did personally inspect the roof deck nailing
(Date)
work at: MC6 E 5-T t T• �'1 C• .
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Ex! ing Building Code Section 611 or the product approval.submitted(whichever is
most strigent).
ac-oayt4tt
Signature and Seal License#
STATE OF FLORIDA RECEIVED
COUNTY OF MAR 2 2017
Sworn to and subscribed before me this day of M#�i'RG� 20LI
by. 7SOM N `TV IP- C . Who rsonally knouvn tome or who has produced
identificati
Notary Public,State o loci
Signature of Notary: TANI^A TURNER
Commission Number: (Seal) ~'��';y'F': commission#.FF 922696
.7 ExpiresSeptember 30,7019
En 01/19/2011 4P,„t, so. ,a4T uTTVjFI;,kn �*SP4'ss:o»