HomeMy WebLinkAboutRoof Inspection Affidavit 07-17-19,'03; 14PM;Fax ;254-682-0952 # 11 1
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Planning&Development Services
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, Fl.34982
__._.._. : . .........._.. . .... .... 772-462-2165 or 772-462-2172
RECEIVED
Fax:772-462-6443 ,
Jill 17
ROOF INSPEC7ItJN AFFIDAVIT PerstttLuciecou.IM
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Re: Permit#3 LC f q' &w
1, �G licensed as a(n)Contractor*/Engineer/Architect
(Please pr 'tt name&circle license type) *FW8 Building Inspector
*General,Building,Residential ar RoafJng Contractor or any individual certified under 468 F.S.to make such an Inspection.
On or about _ I did personally inspect the roof deck nailing
(pate) {
work at: `�'Q� ' a\un-,Z)r.
(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 7178 or the product approval submitted (whichever
is most strigent).
4 Signature and Seal License#
STATE OF ROM ima5
COUNTYOF MG1 econCun
Sworn to and subscribed before me this 11 day of 20
by Lav-!CLS, 96Qe. Who Is personally known to me or who has produced
as Identification,
Notary Public,State of Flo r a ����t►111111pi����f
Signature of Notary: � �`����;.}.;4L/''�i,,,
Commission Number;' (Seal) `t".•`'' Y p ��.��r f
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