HomeMy WebLinkAboutInspection Docs • •
Planning & Development Services
Building& Code Regulation Division
2300 Virginia Avenue
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Fort Pierce, FL MW-
7 72r46Z-2
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772_46Z-2 r6S or�'i72-462-2 72
Faze 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# V1 0(0— 0 1S
!, --
)oyAo SUSS :licensed as.afn)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about Z® ' , I did personally inspect the roof deck nailine
((ate)
work at:
(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 str gertt).
CCC ►3�U�( [ (o
Signature and Seal License#
STATE OF FLOR D
Cf3tJNW t7f U (.lt
Sworn and sub-scribed before me this day of U, A1C 2013
b Who i personally nown o me or who has produced
Y� �—Y�)t
as identification.
Notary Public,State of Florida
Signature of Notary:
Cocrirslission dumber: Neal)
En 01/19/2011
ASHLEY LAWRENCE
MY COMMISSION#00029721
RECEIVED JUN 2 0 Zp»
EXPIRES:SEP mIns0
Bonded through 1st State I�uram