HomeMy WebLinkAboutRoof inspection aff r a
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� ss Planning&Development Services
.� Building fk,Code Regulation Division
2300 Virginia Avenue
Fort Pierce,FL 349$2
772-462-2165 or 772-462-2172
Fax.772--462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit 4
licensed as a( l nriir��tcar��F� ineer��r�hftrt �
W lea%,;Print name cittle license tie) "FS4b8130ding Enwcror
on or about t did perseraally inspect the roof deck rtariirr
M;
(job sit-address)
rased upon that examination i have,determined the irist:allation was done according to the current
edition of the Florida Existing Building Code Section 611 Or the product approval submitted whichever is
most stripent).
A)y
Signature and Seal � License-03
STATE Of,1 L Ri A
COUNIY OF
Swaurn zo and subscfib ed before me this day of 20��
try Who is Personally wrt to mti rr.4who has p wdixod
Notary Publk Stati�of,7kc cdtt
CwrlmiKzion Nuattb t
r p > L. CAD :
.".i Piz v:fattl2T, $1
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