HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue .__.CE'V50
Fort Pierce, FL34982
772-462-2165 or 772-462-2172 FEB'
Fax: 772-462-6443 -
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LLucfeount`y,Perml0ig
ROOF INSPECTION AFFIDAVIT
Re: Permit# ro)U -0�P
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 468 F.S.to make such an inspection.
On or about a 'I did personally inspect the roof deck nailing
(Date
work at: �
(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
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF Martin
Sworn to and subscribed before me this day of' 202b "
by Jamie Cisco Who is personally known to me oKgho has produced
as identification.
Notary Public,State o a
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011
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