HomeMy WebLinkAboutRoof Inspection Affidavit r
1211512017 08:32 All.Area Ro ino (FAX)772 464 6600 P.001 l001
-J �lb Dad
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Planning& Development Services
Building&Code Regulation Division
Z300 Virginia Avenue
Fort Pierce, FL 34982 .
772-46Z-2165 or 772-462-2172
Fax:772-462-6443
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ROOF INSPECTION AFFIDAVIT
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Re: Permit# n1431
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I, choc,I ej'ohcxja s licensed as n)Contracto */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 Irn inspection.
On or about 12k- 16-1-) , 1 did personally inspect the roof deck nailing
(Date)
work at: ( k -�- !'i P�'CP} 1__ 9 WQ
(Job site address)
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.Based upon that examination I have determined the installation was;done according to the current
edition of the Florida Existing Building Code Section 708 or the product approval submitted (whichever
is mo Igent).
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44
6177
4gnatu r -a d�ea Lcense#
STATE OF FLORIDA
COUNTY OF 4
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Sworn to and subscribed before me this day of f 1' 24 I
by;Cha�l�5_��;c.wmortlS WhajLnrsQn�lly known to me or who has produced d
as identification. _ W_
Notary Public,State of Fi rida j
Signature of Notary:
Commission Number: _ (Seal)
Ay p�
En '�.••.�°!�, FAn MASON
* i My COMMISSION#QG Como
e WIRES.Ma 20,2o20
p Derided Thru Budge:NoterySMVIM
RECEDE
DEC 15 20117
Permitting department i
St. Lucie County/ FL
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