HomeMy WebLinkAboutSLC-2001-0028 affidavitLL (IiK \1
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Planning Development Services
Building ge Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
e72-462-2165 or 772-462-2172
Fam 772-462-6449
ROOF INSPECTION AFFIDAVIT
Re: Permit#
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 r/ I did personally inspect the roof deck nailing
(Date)
work at:
vuA A4 1
(Job site address)
dl-g t t�C- 3 Y�s7
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).
/A
Signature an Se
r
STATE OF FLORIDA
COUNTY OF �/Y(y%L
License #
Swom to an51 subscribeil before me this �' -may of /fx? 20 a0
by We Who is personally known to me or who has produced
as identification.
Notary Public, State of Worida
Signature of Notary: //,
Commission Numbe , ! q (Seal)
En 01/19/2011
.�.�, JUSTIN DAVID CONE
ci, Notary Public - Staie of Florida
°, y',e` Commissm,, F 66 t 96S19
?6, ;4 My Comm. Expires Mdr 14.2022
do" dell through Nstiot,al Nola,y A W