HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building&Code Regulation Division
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i 2300 Virginia Avenue
Fort Pierce,FL 34982
772-462-2165 or 772-462-211-2 RECEI�IED
Fax:772-462-6443
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ROOF INSPECTION AFFIDAVIT :T_ i��=i "" �' pertnittin
Re: Permit#-PRet9--&12Q- -
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 irispection.-
On or about 11/13/19 , 1 did personally inspect the roof deck nailing
(Date)
work at: 1450 Copenhaver Road
(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).
CCC1327796
Ignature and Seal License#
STATE OF FLORIDA
COUNTY OF Martin. , t1
Sworn to and subscribed before me this ' 4 day of ��(A1�7Llrbc C_20_13
by Jamie Cisco Who is personal) known to me or who has produced
as identific tib on.
Notary Public;Stateori a
Signature of Notary: '= C
Commission Number (Sear P
STACY SANTAGATA
En 01/19/2011 _ Notary Public-State of Florida
;y Commission#GG 041634
My Comm.Expires Oct 24,2020
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