HomeMy WebLinkAboutRoof Inspection Affidavit o .
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C0.'., Planning&Development Services
Building&Code Regulation Division
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N 1G-�,.� JLc 2300 Virginia Avenue
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f .,._; Fort Pierce,FL 34982
c - 772-462-2165-or 772-462-2172
Fax:772-462-64433
ROOF INSPECTION AFFIDAVIT.
Re: Permit 03(D9
Cave licensed as a( )Contractor* Engineer/Architect
(Please print name-&circle license type) °FS46 w ng nspector -
. tGenerol,Building,BesideptiolorPckaTTg v"gtorcranyindkidualcPrUjledunder468.FS.toMOLsuchOn:inspecttan.
On.or about 1g1 1 did personally inspect.the roof deck haflina
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work. � Q�oy-
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(lob site address)
°.° Based upon that.examination Ihave determined the installation was done according to the current
o edition of the Florida Existing Building Code Section 611 or the product approval submitted.(whichever is
co most strigent): '
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i Signature and Seal a License-4
STATE OF FLORIDA
COUNW.OF
swom to and subscribed before me this 1R `.day of 20A
by res �j C,;�J.e_4A _•.Who Is personally known to has produced
as identification.
Notary.Public,,State of F rida
Signature of Notary: CJn
CorrimissianNumbera C�Cq(4 (47� (Seal)
7.
En01/191207.1 2-A"a
TES
G.47fi2$ExpitosoS,2020
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