HomeMy WebLinkAboutRoof Inspection Affidavit May. 15, 2017 3:22PM AC Moore Store #108 No. 0311 P. 1
Planning&Development Services
9 Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce,FL 34582.
77Z-462-2165 or 772.462=2172
Fax:772-462-6443
ROOF INSPECTION AFPIDAV_IT
Re: Permlt#6' _1170v_
ffo Qf - J ,licensed as a(n)Contractor*/Engineer/Architect
(Please-print-name&-circle license type). - - -- *FWS-Building Inspector
*Generot Sending,Residential or Roofing Contractor or ohy individual cued ander 468 FS.to make such an lrupection.
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On or about � I did personally inspect the roof deck nailing -
h(Date)
work at:
(Job site address)
Based u n that examination I have determined the installation was done according to the current
.edition 'Florida-Existi. Building Code Section-Gil orthe-product approval submitted (whichever is- --
st stri ). .
5i nature an4 al Ucense#
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STATE OF FLORIDA
COUNTY OF .9T 1_U eJ.
SwVnsubscribed b�fare f�e this r��-d3 r.of � �U�' •
by ��JT N Who' ersonally{mown to m r who has produced
as identifica;o
(Votary Public,State of Florida
Signature of Notary:
Commission Number. (seal)
En e1/19/2=
Noluy PUVIC State of Florida
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My Commissim FF Bai mi
�n�+ E�Iros 05It8V2020 .