HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
`LLB _ Building&Code Regulation Division
2300 Virginia Avenue
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Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT
Re: Permit# SLC- 1-1Oa—CCRc,
I, , licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential o Roo rng Contracto or any individual certified under 468 F.S.to make such an inspection.
On or about aL/I,-T ,.I did personally inspect the roof deck nailing
(Date)
work at: 13 30 S IN "h1AN "Q1V�"�
(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 strigen ).
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF ST• UOC1 E
Sworn to and subscribed before me this `�TN day of V7 91 20-
by SoA N —VU i?N(c.Q Who is personally known to me or who has produced
as ident'' 'on.
Notary Public,State of:Florida
Signature of Notary: "ay•,, TANYA TURNER
Commission Number: (Seal) =f''� Commission#FF922696
`�,
En 01/19/2011 Expires September 30,E X19
Uond9d T4N Troy Fen IP.tUiY 6M3asmw
RECEIVED FEB 14 2017
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