HomeMy WebLinkAboutRoof Inspection Affidavit 1.0210912017 16:05 R.0011001
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, kli Planning&Development Services
Building&Code Regulation Division
2300 Virginia Avenue
LI Fort Pierce,,FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
BQQE INSPECIlON AFFIDAVIT
Re: Perm it#
-i ce licensed as a(n)Contractor*/Engineer/Architect
'(Please print name&circle license type) *FS468 Building Inspector
*Genero4 Building,Residential or Roofing Contractor or any Individual certlf?ed under468F.S.to make such an inspection.
On or about.2-4:�,-ri ,I did personally inspect the roof deck nailing
(Date)
work
(Job site address)
Based upon that examination I have determined the installation was done accordingto the current
edition of the Florida Existing Building Code Section 611 or the product approval submitted(whichever is
mas rigent).
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF
Swqm to and subscrib d before me this_day of 20�
by �,�t {,� _ _, Who is personally knoN p to me or has produced
as identification
Notary Public,State of Florida
Signature of Notary: �ew� _
Commission Number: (Seaq
En 01/19/201i '
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