HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
n> Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443 RECEIVED
FEB 0 5
ROOF INSPECTION AFFIDAVIT
ucie County, Permlttlng
Re: Permit#
I, 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 469 F.S.to make such an inspection.
On or about- I did personally inspect the roof deck nailing
(Date)
work at: '(A0w U?'-M-C's Nud
(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).
CM 327796
Signature and Seal License#-
STATE OF FLORIDA
COUNTY OF Martin
Sworn to and subscribed before me this day ofU 20&)by Jamie Cisco Who is personally known to me or 0 has produced
as identification.
Notary Public,State of F
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Signature of Notary:
Commission Number: (Seal)
En 01/19/2011
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. : ANY COMMIS"0 Gt3 939200
EMRES:DeowJw 11;2023
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