HomeMy WebLinkAboutRoof inspection affidavit Planning& Oevelopment"Sejv ces
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Buildring-&,Code Regulation Diviaion
i `2300 Virginia Avenue f
;Fort Pierce,FL ,49$2
{, 772462-2165 or 772=462""-217 p�
Fax:772-462-6443 /14 vt-i57'8' tlf9
permttfidgDep..arpnent `
Lucle.eoun[.
ROOF-INSPECTIO.N AFFIDAVIT
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Re: Permit:#L ,q(Z
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'WIOL, t$,licensed:as a(n)Contractor'/Engi'neer/•Architect j
(Please'p.rint name&circle license type) *FS4613 Building Inspector !
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*Generoi;-Buitding;-Residegtfaf or Roofing Cont actor'or anyindii ddtidf'certifted under'46$-F.S.to make such an Jnspectloa.
{ -On or aboutKe)
I did personally, inspect the,roof deck haifing
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work at;�_l�0 t►1 E
j+ -. (,�,lQCrc�l Int $► 't�' -'
(!ob site address)
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Based upon that examination I havwdeterrnined the installation was done according to ihe•current
edition of the Florida Existing Building Code'Sectibn 7Wor the product approval submitted(Whichever i
is,most strigent).
' ignature and Seal License#
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STATEOVFLORIDA. `` ,� `
COUNTY OF S f LAo`-p'
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Sworn:td aff.d subscribed'bef; re.me,this_ _:day of d
by. . 3QkVlPte(- 561 5 Whois-personally known to,me-or whaced
as identification.
Notary Public,State ofFloc cla t ' ?� �� C r8 orFFAt '4
Signature of Notary: y "" " !y`h ig °r%cle i
Commission Number: � 7c�i 'l c'► I e pQr `
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