HomeMy WebLinkAboutRoof inspection aff 0113012017 08:53 ITAB) P..0011003
Planning&Development Services
M ' ,4`I Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce,FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
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ROOF INSPECTION AFFIDAVIT
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Re: Permit#(.—) d�
1, Nnydn licensed as a(n)Contractor*/Engineer/Architect .
(Please print name&circle license type) *FS468 Building Inspector
*General,Budding,Residential or Roofing Contractor or ony Individual rertp/led under 468 F.S to make such an Inspection.
On or about i did personally inspect the roof deck nailing
Date)
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work at: wk cCM Dim,a,
(Job site address)
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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 strlgent).
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Signature and Seal '� License#
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this day of i 20j:j �!
by . Who is personally known to me or ho has produced z
as identification. eds
Notary Public,State of PI ry
Signature of Notary o
Commission Number. (Seal)
En 02/19/2021
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p""lid THERESADERITA
�i : MY 009VISSION Y FF 052M
EXPIRES:Ootober29,2017
prep go+�4adThnrNotuYP�blcundererhera
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