HomeMy WebLinkAboutRoof Inspection Affidavit Planning&Development Services
Building&Code Regulation Division
2300 Virginia
:
f e e Fort Pierce, Fi.34982 =
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772-462-2165 or 772-462-2172
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Fax:772.462-6443
ROOF INSPLMN AFFIRMIT
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Re: Permit# 1702-0021
licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license typ ) *F5458 Building Inspector
"'General,Ouliding,Residential or Roofing Contractor or any individual certified under 460 F.S.to make such an inspection.
On or about -4 1 did personally inspect the roof deck nailing
(Date)
work at: 8001 Hamilton Avenue, Fort Pierce,FL �.
(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 strigent).
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Slgnat a nd eal License#
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STATE OF FLORIDA
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COUNTY OF txt
Swo toand ascribed before me this� ` da f 201
by C Who is ona y known to me o who had r; bfd
- f as i ca on. WRT 88 ri�v/J
Notary Public,State of Florida ` ••tea Y1SN�,'�:
Signature of Notary, 411
Commisslon Number;
fir,
6n 01/19/2011 Yes� edfi .••
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RECEIVED FFQ 14'2017