HomeMy WebLinkAboutInspection Docs 01/12/2017 09:56 7724626448 SLC CODE COMP PAGE 01/01
Planning&Development services
Building&Code Regulation Division
2300'Virgrnia Avenue
Fort Pierce,FL 94962
772 462-2165 or 772-462-2172
Fax:772-+462-6443
ME INSPEC7ION,AE, IDS, AM
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Re- Permit# 17 DI- 0'0
licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle iicen tope) '"FS468 Building Inspector
*GenerAauddlnzmosid&ndalorRoofingContrdator4r any ind Ovalcerttfirdunder469F.S.rumakesuchanInspection.
On or about �� � � i did personally Inspect the Goof deck one
(Date')
work at- id Lan&no t,)r-
00 site addresO
Based upon that examination I have determined the installation was dome according to the current
edition of the Florida Existing Building Code Section 611 or the product approval submitted(whichever Is
most strigent).
5 3- --
Signature Wd U7 License 4
STATE OF FLORIDA
COUNTYQF...a. �Ur-lC
Swot to and subscrlbed before me this day of 20JI
by r;dn . ingiMM9 02 s !1 o m r who has produced
as Identification.
Notary Public,State of Florida
Signature of Notary;
Commission Number. (Seal)
En M/19/2011
RECEIVE® r, (ry
JAM 12 2017 %i; �oF F4oA,ps`}`��
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