HomeMy WebLinkAboutRoof Inspection Affidavit 02/23/2017 12:02PM 56149119?7- , DURHAM PAGE 01/01
Planning&Development Services
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.T _ Building&Code Regulation Division
2300 Virginia Avenue
« Fort Pierce, FL.34982
772-462-2165 or 772-452-2172
Fax;772-462-6443
ROOF INSPI=CTION AFFIDAVIT
Re: Permit#
�c„gAwq ,licensed as a(n)Contractor*/Engineer/Architect
(Please print name.&circle license type) *FS468 Building Inspector
'General,Building,kesidentlol or Roofing contractor or any individual certbled under468 FS.to make such an inspection.
r
: On or about f S~ 2-01 7, 1 did personally inspect the roof deck nailing
work at: � �� �J✓rr/1 ��✓. YDI�TTG-
(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 strige t).
CGS
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF Pa(rn
Sworn to and subscribed before me this r� day of Fe to 20t,
_ by J oh a Wit'kg rn._ ..Who is personally known to me or who has produced _
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Num _ CrG� Do $-s( �i (Seal)
En 01/19/2011
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