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
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Re: Permit 4t i`�da - ou, 3 er�i�tih
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licensed as a( ontr�ingl'nspector
Engineer/Architect
(Please print name&circle license type) *FS468 Bui
'Generof,Building,Residentio!or Roofing Contractor or any individual certified under468 F.S.to make such an inspection.
On or about j Z� .! l� I did personally inspect the roof deck nailing
(Date)
work at: l6 OJT- 0%7cao.
(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).
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� ^ CCG 13:30bS
Signature andSeA License#
STATE OF FLORIDA
COUNTY OF &t— Lint 2
Swo to anXdu bskribed before me this Z day of M 20VS�,
by Yl 1� -{�• Wh �rsonallykno nw o se or who has produced
1 -ifs identification.
Notary Public,State of Florida i
Signature of Notary: r ��
Commission Number: ` (Seal)
En 01/19/2011 RCE ERT BRUNKE
:. Notary Public-Stele Flor,�a
T, •. RCBERT BRUNKE ;'�• Cormissor'=vG'73c72
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