HomeMy WebLinkAboutRoof Inspection Affidavit May, 12. 2017 10: 20AM AC Ma',,-,p Store #108 No, 0305 P. 1
Planning&Development Services
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Building&Code Regulation DiVision
�. 2300 Virginia Avenue
Fort Pierce, FL 34982.
772-46Z,2165 or 772-462-2172
Fax:772-462-6443
ROQF.INSPECTION AFFIDAVIT
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licensed as a(n)Contractor*/Fngfneet/Architect
:. . (Nease-print_name&•ol.rcle license type}... • .. xP546$-8uilding Inspector
*General,Building,Residential or Roofing Contractor or.ariy individual certifr'ed under 468 FS.to make such ah inspection: "
I did personally inspect the roof deck nailing.
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walk at: Mv!1/" /'L �
(Job site-address)
Based u"on that examination I have determined the installation was done accordfngto the current-
edltion Florida Existl. Building Code Section.611 or the product approval submitted (whichever is .
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Sfignat&o an al License# ,
STATE OF FLORIb
COt1N1Y OF
Sworn W gnd subscribed before me this day-of— #1 zof
by � who i sone y known to me Who hes produced
as identifi cation.
Notary Public,State 6f Florid
Signature of Notary:
Commission Number: (Seal)
Eo 01/19/7.011
Notary Public State of Florida
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