HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
C G Building& Code Regulation Division
QV 2300 Virginia Avenue
0 o , Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT RECEIVED
Nov 3 0 2098
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Re: Permit# I'�S« 03►5 sT. L•uCiearlyr fal'mitCing
I, prize» r"►G1onSl , licensed as a(n)Contractor*/Engineer/Architect
(Please print name.&circle license type) *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 113J//
t ' , j& , I did personally inspect the roof deck nailing
(Da
work at: q 7 o5 6[ Ouw, �SV Q
(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).
�✓ Mfl 133�
ignature an eal License#
STATE OF FLORID
COUNTY OF 4/0
/ , /
Sworn o and subscribed of re me this 3d day of Oy 0y 20(�
by C p . who is personally known to me or who has produced
as identification.
Notary Public,State of Flo Ida
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011 �#0 hyo Notary Public State of Florida
Victor G Alterizio
.1 , My Commission GG 274292
$mad Expires 11/05/2022
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