HomeMy WebLinkAboutInspection Docs j Planni ig& DevelaPmelntSery ces
Building&Code Regulation Division
2300 Virginia Avenue
Fort P° rce, FL 34982
772-4 2-2165 or 772-462-2172
Fax:7 2-462-6443
ROOF INSPE ON AFFIDAVIT '
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Re: Permit#
1, 'I ZZf ti�S�araw llolicensed as a( Contract r*/ ngineerjArchitect 'I
(Please print name&circle license type) *FS4.68 Building Inspector
*General,Building,Residential or Roofing Contractor or any individi al certified under 468 F.S.to make such an inspection.
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On or about. (— ( —(�- , I did personz Ily inspect the roof deck.nailing
(Date) I
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work at: D t rY"t6 L-V-�
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(Job site addre s)
Based upon that examination I have determined 6 e installation was done according to the current
edition of the Florida Existing Building Code Sectiop 708 or the product approval submitted (whichever
is most stri t).
Sig ure and Seal License d !
_ STATE OF FLORIDA f
COUNTYOF l'ia(t6i; l j a
Sworn to and subscribed before me this_� day of Ub 1 2r) j
by 1/771?( i7�ilZiyy�il[v lhlho is personaiiy kn wn to me or who has produced ,+
l.(� as identification.
Notary Public State of '�• °' '`�M��
Signature of Notary: ` 0' E it S
Commission Number: 4;&' at 14, 2020
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En O aCtment
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