HomeMy WebLinkAboutRoof Inspection Affidavit � r
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Planning& Development Services
` J Building&Code Regulation Division
i 2300 Virginia Avenue
0F��; erce FL 34982
l: L L` ! i t1 r Fort Pi ,
1 772-462-2165 or'772-462-2172
Fax: 772-462-6443
MAR 2 G 2017
ROOF INSPECTION AFFIDAVIT PERMITTING
St. Lucie County, FL
Re: Permit# Id3 03� /
1, 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 c9 1f , I-did personally inspect the roof deck nailing.
(Date)
work at: 5q 3 /lle lles Ol
(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).
CM 327796
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF Martin
Sworn to and subscribed before me this Q day of)926 r6-1 2o,1 Fa:
by Jamie Cisco . Who is personally known time or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary: Y'\
Commission,Number: (Seal)
Eno1/19/2011 s° °oo
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Notap
�t+ tate of Flo ,
• Marilyn Kluegel
MYCoMmisslon FF 230779
°�n� Explre506/2812.1.