HomeMy WebLinkAboutRoof Inspection Affidavit�l
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Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172 AA,
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # M - n%0
Char DA'0-Alicensed as a(n �ontractgornEngineer/Architect
(Please print name & circle license type) *FS468pector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about AID \, I did personally inspect the roof deck nailing
(Date)
work at:
(Job site address)
Is]
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).
I)AdAO <� �, �Mha�-
Signature and Seal
STATE OF FLORIDA
COUNTY OF s LAX,Q
cc 1 ,
License #
Sworn to and subscribed before me this 2a4"` day of t\)L-LZ,-nbei- 20-0,
by ( N . DIV_+ . Who is personally known to me or who has produced
as identification.
Notary Public, State of FI da
Signature of Notary:
Commission Number: I (o (Seal)
En 01/19/2011 O4'F\ P�0
=•°'c_ coSALLY PORTES
mmission # GG 47625
�. My commission Expires
��•°� November 15, 2020
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