HomeMy WebLinkAboutInspection Doc1=11 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
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1'.. &a'n -7y licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license Itype) *FS468 Building Inspector
"'General, Building, Residential or Roofing Contractor or any individual certified under 468AS. to make such an inspection.
On or about I did personally inspect the roof deck nailing
(Date)
work at: I z5' 'Sr— 'S C � V -t
fJob 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).
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Signature and Seal
STATE OF FLORIDA
COUNTY OF
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Notary Public, State of Florida
Signature of Notary:
Commission Number:
En 01/19/2012
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CLC1-330GY3
License #
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me or who has produced
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