HomeMy WebLinkAboutRoof AffidavitPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Re: Permit #ej-'i u —C)C0;2q
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: S C)cic on (—')r 57-
(1ob 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
Signature and Seal
STATE OF FLORIDA
COUNTY OF Martin
CCC1327796
License #
Sworn to - a -1 nd .1 subscribed -- b - efor'e nr4 thisdayofIRP20,
by Jamie Cisco Who is personally known to me o(-;h—o has produced
as identification.
Notary Public, State of on
Signature of Notary°'z�—��
Commission Number: (Seal)
En 01/19/2011
awl D DYE KRIS—IE DYEE
COMMISSION # GO 94302000
V COMMI38" # GG 93P200
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EXPIRES: December 11, 2023 2
EXPIRES: December 111, 2023
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