HomeMy WebLinkAboutRoof Inspection Affidavit Jan 24 2017 1222PM HP Fax
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I I .
s ui T. - Planning&Development Services
Building&Code Regulation Division
COUNTY 2300 Virginia Avenue
IF L a R I D A Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
1100F.iNSPECTION AFFIDAVIT
Re: Perrni # SL JC, l' t-)l —CA IIDV�
licensed as a(n)Contractor*/Engineer/Architect
(Please pr nt name&circle license type) *FS468 Building Inspector
*Gene ral,eui ina,Residential or Roofing Contractor or any individual certified under 468 F S.to moke such an Inspection.
Ori or abo t I did personally inspect the roof deck nailing
(Date)
work at:
(Job site address)
Based up n that examination [have determined the installation was done according to the current
edition of he Florida Existing Building Code Section 611 or the product approval submitted{whichever is
: most stet ntf.
Si nature and Seal License#
PENNY KIMBRELI.
MY COMMISSION N FFW0768
I! EXPIRES Se tuber 22,2019
STATE OF F ORIDA woe 7AB-0 a� FbtiaWota. srvw.00m
I COUNTY O
i Sworn'to'a d subsc'bed before me thls &LA da � 2oa
by ho i ersonally known tome r wh has produced
as Identl
I
Notary Pu lic,State lorida
Signature f Notary:
;Commissi n-Number: (Seal)
En 01/19/2 11
RECEIVED
JAIL 2 4 2017
f .