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HomeMy WebLinkAboutRoof Inspection Affidavit _ Planning& Development Services �ti• 7� Building&Code Regulation Division i ! 2300 Virginia Avenue Fort Pierce, FL 34982 I - 772-462-2165 or 772-462-2172 Fax: 772-462-6443 ROOF INSPECTION AFFIDAVIT i 5L1�-7 01 �- Oal t. Re: Permit# } , licensed as a( Cont�ractor /Engineer/Architect (Please print name&circle license type) *FS468 ng Inspector *General,Building,.Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection. On or about , I did personally inspect the roof deck nailing (Date) l/ I work at: �.��� I,A f— vrr,-Q, La A (Job site address) 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 strigent). i nat re and Seal License# i l ' STATE OF FLORIQqA I ' G COUNTY OFS+ l� Sworn to and subscribed before me this day of 2019 by -i e IF ire a M Who is personally known to me or who has produced as identification. Notary Public,State of Florida Signature of Notary: �Y "y Commission Number: (Seal) En 01/19/2011 e;' CONSTANCE PCtOUI" MY COMMISSION#FF 160517 •?,p,�,�.• EXPIRES September 16,2018 (407)398-0153 FlondallotaryService.com i l Planning & Development Services Building& Code Regulation Division 2300 Virginia Avenue Q o Fort Pierce, FL 34982 772-462-2165 or 772-462-2172 Fax: 772-462-6443 �s ROOF INSPECTION AFFIDAVIT Re: Permit# r�© I, eWr- r licensed as a ontracto /Engineer/Architect (Please print narAe &circle lic nse 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 O /1 J ) 1 , I did personally inspect the roof deck nailing (Date) v work)at: I Li o U'►► )f' �t/ �11. `w✓ PI t'��'-�. (Job site address) 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 strigent). esi'ffnFaiKure and Seal License# STATE OF FL DA COUNTY OF Gi Sworn to and subscribed before me this I J� Y da of` WJ 20 / by jr F,F&f:Aj h gnct� Who is personally known to me or who has produced as identification. Notary Public,State of Flor' a Signature of Notary: Commission Number: 1 Lt 051 (Seal) En 01/19/2011 i•;'"'c' CONSTANCE PROUD :v ,y `= MY COMMISSION#FF 160517 EXPIRES September 16,2018 (407)398 0153 FlondallotaryService.com