HomeMy WebLinkAboutRoof AffidavitPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
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Re: Permit # �k� qL>k
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 468F.S. to make such an inspection.
On or about I did personally inspect the roof deck nailing
(Date)
work at: Qc,,,Ay( -AvcPr) � P% e- v Ce
(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 W—�day of')1kn(XCj— 20�21
by Jamie Cisco Who is personallyown to me ) who has produced
as identification.
Notary Public, State
Signature of Notary:nn�-�'�
Commission Number: (Seal)
En 01/19/2011
KRISTIE DYE
My COMMISSION
W EXPIRES: Dew
B0TWM Thru Notm Pt.