HomeMy WebLinkAboutScan_0102Re: Permit # 2011-0482
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
I, Jon Ashenback . licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
`General, Building, Residential or Roofing Contractor or any individual certified under 468FS. to make such an inspection.
On or about Noon 11-19-10
(pate)
work at:
I did personally inspect the roof deck nailing
7503 Pasos Robles
(.lob site address)
Based upon that examination 1 have determined the installation was done according to the current
edition of the Florida Existing Building Code Section 708 or the product approval submitted (whichever
ismost nt).
S ure and Seal
STATE OF FLORIDA � • , ,�.
CO U NT`! O F � (---
CCC -057852
License #
SwQLgjo and s scribed b fare m this day of v 20
by 0YQ Who is personally known to me or who has produced
as identification.
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1�"'\ L ?NEj. �i*
Notary Public, State of FI i
"N &..-
Signature of Notary:
r:
� �G0Y2b 2p
�'.
Commission Number:
* [Seal)
7Fo
: s *GG 357653
NTY
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P.
I D A
Re: Permit # 2011-0482
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
I, Jon Ashenback . licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
`General, Building, Residential or Roofing Contractor or any individual certified under 468FS. to make such an inspection.
On or about Noon 11-19-10
(pate)
work at:
I did personally inspect the roof deck nailing
7503 Pasos Robles
(.lob site address)
Based upon that examination 1 have determined the installation was done according to the current
edition of the Florida Existing Building Code Section 708 or the product approval submitted (whichever
ismost nt).
S ure and Seal
STATE OF FLORIDA � • , ,�.
CO U NT`! O F � (---
CCC -057852
License #
SwQLgjo and s scribed b fare m this day of v 20
by 0YQ Who is personally known to me or who has produced
as identification.
\\\\11{11lIIIJIIf��t!
1�"'\ L ?NEj. �i*
Notary Public, State of FI i
"N &..-
Signature of Notary:
r:
� �G0Y2b 2p
�'.
Commission Number:
* [Seal)
En
: s *GG 357653
CA
SII X 03