HomeMy WebLinkAboutRoof Inspection Affidavit Jun 2619,09:43a Treasure Coast fing 772 358
PA
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Planning&Development Services
Building&Code Regulation Division
i 2300 Virginia Avenue
n Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# /�lt?6'"471,7e'
licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
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*General,Building,Residential or Roofing Contractor or any individual certified under 458 F.S.to make such an inspection.
4n or about Q 1 did personally inspect the roof deck nailing
(Date)
work at: f f3 5;Ad (�
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(.lob site address) j
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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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%natured/seal License#
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STATE OF FLORIDA !
COUNTY OF S(r
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Sworn to and subscribed before me this ��day of :gW 1. 201
by f !'r4.r. !�� e�4Who is personally known to me or who has produced !
as identification.
Notary Public,State ofF or'
Signature of Notary •/3 � r.•�" ' a
Commission Number: r � .Z 4-IL (Seal)
En 01/19/2011
? qty NoYaly Aub-k'State M Florida
Victor G Alterixio
} y c + My Commission GG 274252
Expires t•.M2022
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