HomeMy WebLinkAbout#2011-0094 Roof AffidavitPlanning & Development Serulces
Building & Code Regulation Division
2300 Virglnia Avenue
Fort Pierce, FL 34982
772.,462-2165 or 772--46 2172
Fax: 7722-643
ROOF INSPECTION AFFIQAV
Re. Permit#��
1,gt(ha 1 - a uensisd as ajn ontractor- E nglneer/Architect
(Pleage prim name & circle license type) 'F'S468 Su[ldIng 155;pe r
*Gernmr 8uilding,Res4mrialorRcoliMGontracrararany indluidualc red under4"FStorirakesurbaninsp rc oa_
On or about14(1)1 d1d persona Hy Inspect the roof deck naillrig
(Data)
work at: M 6&
6p; -
(job site address)
Lased moon that examinaton I have date rmIned the instailation was derte according tc� the current
edition of the Florida Existing Building Code Section 708 crthe product approval submitted (whichever
is rear strlgent.
" signature artd 5ea�
STATE OF FLOC
COUNTY OFJift
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2,456
License
Sworn to ands bscr, Rd pry me thrs day of �' ZC
by G k Who Cs 11�rsnallrL to m 6 ar who his producer
as identification.
Notary Public, State or
5C nature of Notar KEVIN NWR3,UER
commssion Number ; � }dY�O�fdl$RI+31:e�Gii67 fi
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