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HomeMy WebLinkAboutRoof Inspection Affidavit _ Planning& Development Services Building&Code Regulation Division - 2300 Virginia Avenue Fort Pierce, FL 34982 772-462-2165 or 772-462-2172 Fax: 772-462-6443 ROOF INSPECTION AFFIDAVIT Re: Permit# j��� ' ©0wo licensed as a( Contractor /Engineer/Architect (Please print name&circle license type) *FS4 . Ing Inspector *General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection. On or about 7116111 , 1 did personally inspect the roof deck nailing (Date) /I work at: Lq©0 l lrty'�ll �i Q (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). CCGl33 a $16 Ignature and Seal License# I STATE OF FLORIDA COUNTY OF LU&t Sworn to and subscribed before me this day of L 20� by-Jd HAcL\-02� . Who is personally known tome or who has produced as identi Ica Ion. Notary Public,State of Florida k Signature of Notary: Commission Number: O (Seal) En 01/19/2011 q '•'! CONSfANCE PROULX i. MY COMMISSION#FF 160517 p,,4 •' EXPIRES September 16,2018. (107)3153 FlordeNetaryServke.00m