HomeMy WebLinkAboutInspection Docs J
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- "f :Planning& Development Services
Building&Code Regulation Division
12300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
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Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT
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Re: permit# SLIC 1 0C (o `' 0(2(4-.,
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q1� � ��• licensed as 42iiCorrtra�• r*/Engineer/Architect
(Please print namei&circ lellice' se type) *FS468 Building.Inspector
*General,Building,ResidentloJc r Rbofing Contractor or any individual certified under 468 F.S.to make such an inspection.
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On or about I did personally inspect the roof deck nailing
(Date)
work at (
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(Job site address)
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Based upon that eza n d av determined the installation was done according to the current
edition of the f da E ting Bui ing Code Section 611 or the product approval submitted (whichever is
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('-.C. 13 2• `?3 W Ll
gnat e air 1 ` License#
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STAT of FLORIDA i
cavNTyOF ,Sl tLuc, r
Sworn to and subscribed beforeFme this_ 1 day of 'C)CTC�r� 20 16
by_sTe"Su.S Uc-Z. _ Who i ersonafTyl< to me or who has produced
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as identifiica ton.
Notary Public,State of'Florid
Signature of Notary:
Commission Number: fFQ3(oc1$ RRYP =
�> GINA M PITTiVtAl
En 01/19/2011 hfiY COPriMtSS
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EXPIRES j,-qy 15,
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