HomeMy WebLinkAboutRoof Inspection Affidavit i
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101 %5110 Ira IN; Filanning2& Development Services
Building& Code Regulation Division
2300 Virginia Avenue
Fort.Pierce, FL 34982
- ka � 772-462=2165 or 772=462-2172
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1, Fax: 772-462-6443 ,p
ROOF INSPECTION AFFIDAVIT .�
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Re: Permit## L
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it licensed as.a(n)Contractor*/Engineer/Architect
(Pleas0print'name=&circle license type) "FS468 Building Inspector
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*General,-Build/rig,Residential or Roofing Contractor or any individual certified under468 F.S.to make such an inspection.
On or:about I did personally inspect the roof deck nailin'
(Da e)
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work at: �S S•��n ����,
(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}.
Signature and Seal License#
STATE OF ROPLIDA
COUNTY''OF
S . rn to and subscribed before me this day of 20M,
Y. � 1�( LjNk c"7f1 Who is personally known to'me or who has produced '
as identification.
Notary Public;State`o3IIri qa
Signature of Notary: Y .
Commission Number: (Seal)
En 01/19/2011
MEGAN JEANETTE LAWRENCE
NotaryPublic—StateofFlorida
' •�'^• Commission#GG 097477
yV My Comm.Expires Apr 24,2021
Borded through National Notary Assn.
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