HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Oevelopment-Seruices
�. Building&Code Regulation Dlivison
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230Q Virginia Avenue
Fort:Pierce; FL 34982`
772.462-2,165 oc 772-462 2172
t Faw772.462 6443'
RECEIVE® ,
ROOF INSPECTION�AMOA!/IT
{ AUG 15 2018
ST. Lucie County; Permitting
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I, 0�+ Cabe licensed ai (
�6ntracto /Engineer/Architect
(Rlease.pr==int,name&•circle,licens pe) *58468 Buildings Inspector
Genera%Buflding;=Resfden;faf or'Roofing ractor oronyfndividual certitfed under.96B.Fs:"tomokesuch an inspotti6-
LOn or about .- 1 did personally inspect the;roof deck hailini?
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work at. .666,
(Job site.address)
Msed`upon.that examAhation l hc, e�de.,termined the;installai'ofn Was done according to the current,
e iition of the Florida;Existing Buis Ing Code Section 108 or the prdduct approval submitted(whichever
ost s ent), - -
VA. �
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Signature and 5ea1 ` license.#r
STATE OF'FLQRI, A "
COL
Sworn " ars subscri d b re.me this day,of 20
b ! G
o'is personally known tome or-Wholhasproduced
a5 I entiflcation
Notary Public,'State of for a
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Signature'of Notary: I 1
s Comm is-sion'Number ...., SON G:cUGSCtHER.D
T( ea), NOTARY PUBLIC
En. c STATE QF FLORIDA
:Expires 1015/2020
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