HomeMy WebLinkAboutAffidavit - 5609 - 9-11Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit #_S'LL 10 01� - 61`11�
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I, CO3f-cri-o-jo , 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 2�)ER-c It ado, I did personally inspect the roof deck nailing
(Date)
work at: SG O MYIhY (IM-L D WO
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition3o,;frige2t).
orida Existing Building Code Section 708 or the product approval submitted (whichever
is most
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Signature and Seal License #
STATE OF FLORIDA
COUNTY OF 00-A"0
Sworn to and subscribed before me this I 1 day of2020,
by 3I'tLyA-1o2.t CAgA- t-o . Who is personally known to me or who has produced
E- VL_* 393 ?e3"tot 17 0 as identification.
Notary Public, State of Flori
Signature of Notary:
Commission Number: C-,G Cc-)2231s (Seal)
En
CHRISTINA L BELL
o1°aYa sus
r Notary Public -State of Florida
'* *2 Commission # GG 978375
My Commission Expires
April 14, 2024