HomeMy WebLinkAboutRoof Inspection AffidavitPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort" Pierce, FL 34982
772-462-ZI65 or 272 172
Fax: 772-462-6443 OCT 0 Z 2017
1SPECTION AFFIDA-AY-,
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Re: Permit#
I, . /3 licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *F5468 Building Inspector
' Gen erol, Building, ResidentiollforRoofiing Contractor or any individual certified under 468 F.S. to moke such an inspection.
On or about cc, f I did personally inspect the roof deck nailing
(Date)),
workat:
(Job site address) f q
Based upon that examination 1 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 stri nt).
CC.C..0.s 73 1�'
Signature and Seal License #
STATE OF FLORIDA , j_1
COUNTY OF ((
Sworn to an sub trid�beforemethis day of v �'�" 2oJ
7
by -(� 4� who is persona known to me or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary: ]�
Commission Number: (Seal)
En 01/19/2011
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