HomeMy WebLinkAboutRoof Inspection Affidavit „t Planning& Development Services
Building& Code Regulation Division
? 2300 Virginia Avenue
0 �.� - Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION.AFFIDAVIT
Re: Permit 4t-L2
-U
I, Jamie Cisco 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 468 F.S.to make such an inspection.
On or about 0 b 1 . 1 did personally inspect the roof deck nailing
(Date)
workat: 7331 YY1ar6h -Fermo-e, 3qq�-,
(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 strigent).
CCC1327796
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF Martin
Sworn to and subscribed before me this day of�M. , 2011
by Jamie Cisco Who is personally known to me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary tPAY�4
Commission Number: ° NO�rY t'ubllc State of Florida
Marilyn Kluegel
s En 01/19/2011 OF My commission FF 230179
n Expires 08/28/2019
RECEIVED MAR 07 2017
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