HomeMy WebLinkAboutRoof Inspection Affidavit i
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Planning & Development Services
Building& Code Regulation Division
2300 Virginia Avenue
® j Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT
Re: Permit# ��• d��
I, ldhP 20 TQaA-0—klicensed as a(n)Contra ctor*/Enginee r/Architect
(Please print name&circle license type) *FS468 Building Inspector
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*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such on inspection.
On or about 3 r6 2 0 J' 1 did personally inspect the roof deck,nailing
(Date)
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work at: 1-h ,, D i c- 6 cJ
(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 strigent).
Signature and Seal License#
STATE OF FLORIDA1
COUNTY OF .InAaSC_tQ_
Sworn to and subscribed before me this day of 20�
by T ,,� Who is personally known to rn or who has produced
y1— BOJ.* as identification.
Notary Public,Stat orida
Signature of Nota
Commission Numb LpSHAHNAIP,
ipu�q State of Florida
En 01/19/2011 �r°4�Y PUF�'c,,.MY C mPm6Expires OF 17024016 i;.
I X10 *o Commission'2#eF. MW
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