HomeMy WebLinkAboutRoof Inspsection Affidavit • • 1 q01r9(3 C)
: ,,,2,4)1, Planning&Development Services
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.1, ty — a . -_ ecc,. Building&Code Regulation Division
772-462-2165 or 772-462-2172
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Fax:772-462-6443
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RECEIVED
ROOF INSPECTION AFFIDAVIT
JAN 1 4 11111
permitting Departrri@ht
St.Luce COURtv
/cO i 0 1 Y O
Re: Permit# , , 4""
I. Pc trA c...(1/vim"' :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 certffied under 468 F.S.to make such an Inspection.
On or about 1.-PF 4 , I did personally inspect the roof deck nailing
(Date)
i ,,,,,)
work at: 41160F 10 et
(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 708 or the product approval submitted(whichever
is most strigent).
„,„••••°"."-- Signature and Seal • License#
STATE OF F UkRA,
COUNTY Of--3--k-1‘.1.-t e 1 c”. .
I.,...
Sworn to and subscribed before me this 1 .7 day of ,—.../t-LA-1 20
by ,K;.c-f ,,t A.A4/^4 J . Who is per_laworTiVrfrvr. - • -;has produced
aside
Notary Public,State of rida .----
Signature of Notary: i..‘ CA.,
4,
Commission Number: i .- (P (Seal)
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2 My Commission GG 211256 _
• likioc opfr Expires 0412612022
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