HomeMy WebLinkAboutRoof insp aff Jan 241712:58p � � �� p•1
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Planning& Development Services
_ Building&Code Regulation Division
2300 Virginia Avenue
M W
, Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT TrGtC� Vl:�nsS$;sue;;�
Michael Miller
PO Box 131r8
c* n wcp> FL 14479
i ��•rliJ•yYtL
Re: Permit#-1-11 �— bZ�5e�
VAX 1�� licensed as a(n Contractor EngineerJArchitect
(Please print name&circle license type) *FS468 Bui rng Inspector
*Generof,Building,Residential or Roofing Contractororany individual certified under468F.S.tomakesuch an inspection.
On or about_ 1 2-y , 20 til I did personally inspect the roof deck nailing
(Date)
work at:-N eYdc—
(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 stri n
C-C- c057 59 9
.Signature and Seaf License#
STATE OF FLORIDA
COUNTY OF — �
Sworn to and subscribed before me this - day of SaYl�a.lf 20 l
by �c-�C'�e, 1 l��L-. Who i ersonalfy known to in ''pr who has produced
as identification.
I
Notary Public,State of F orida FEUCIALYNE GANDEE
Signature of Notary: J
Commission NumberNOTARYPU9LIC
�r 1 �-1 o STATE OF FLORIDA
En 01/19f2011 C=m#FF051263EXPIre89/4/2017
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