HomeMy WebLinkAboutRoof Inspection Affidavit ��- Planning&Development Services
5 JA_::�j Building&Code Regulation Division
1 ��, 2300 Virginia Avenue
A ' Fort Pierce, FL 34982
772-462-2165 or 772-46 -
Fax:772-462-6443
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ROOF INSPECTION AFFIDAVIT Sr• LuciePermitting
Re: Permit#
f, licensed as a(n)Contractor*/Engineer/Arch_itect
(Please print name&circle license e) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
on or about^ l 1 did personally inspect the roof deck nailing
(Date)
work at: s 1G�
l .D/` - r
( ob site address)
Based upon that examination 1 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).
cccosz
Signature and Seal License#
STATE OF FLORIDA ��//
COUNTY of /17 4
Swom to and s} ed fare me this day of 20
by ��.b e who is personally known to me o who has produced
as identification.
Notary Public,State of Florid �� �+
Signature ofNotM: � T1n1.t. & 6911 ..
Commission Number%IVA (Seal)
5n 01/19/2011
JU511N DAVIDCONE
. �p�mmVsstoa ttGG 196SF'19 .
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