HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
- Building&Code Regulation Division
COUNTY 2300 Virginia Avenue
Fort Pierce,FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
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Re: Permit#/q,05-0106
1, Jamie Cisco , 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 1 did personally inspect the roof deck nailing
(Datel
work at: 17120 Hammock Lane
(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 strigenntt).
/` — CCC1327796
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF Martin
Sworn to and subscribed before me this day of 20 N,
by Jamie Cisco Who is personally knoJ to me or who has produced
as identification.
Notary Public,State of F
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011 9r�i v°,e"c� STACY SANTAGATA
Notary Public-State of Florida
Commission�Y GG 011634
My Comm.Ex Tres Oct 24,2020