HomeMy WebLinkAboutRoof Inspection Affidavit i
0211712017 09:23 All Area Roofing (TAW72 464 6600 P.0011001.
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Planning&Development Services
Building& Code Regulation Division
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2300 Virginia Avenue T
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT
Re: Permit# 17 D V- O7 6J i
2,tCb(-1101 licensed as a(I Contracto */En ineer/Architect
(Please print name&circle license type) *FS168 Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about_ cP -)7--1'2 .i did personally inspect the roof deck nailing
(Date) �
work at:-L-o =� Perne. .J 4�g off,
(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
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Signature and Seal License#
STATE OF FLORIDA
COIJNTY OF b- .JQA�
Sworn to and subscrib before me this_1..2 day of rzbnta.r0 201
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by C',h_ri �E,4 UCYI[. Who is-personally known to rite o who has produced
as Identification.
Notary Public,State or r475 � _-'
Signature of Notary:
Commission Number: (Seal)
En 09./9.gnmi
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,•",�, PARK MASON
�+ My COMMISSION#Gfl 009999
r�,oRf` �>:XAIRES:Ju�a2p,Z020 �/i THNBu�QofNoaryBeMw ��"\ .
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