HomeMy WebLinkAboutRoof Inspection AffidavitLl
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Planning & Development Services
Building I Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-"2-2165 or 772462-2172
Fax: 772-462-8443
licensed as a( oniract /Engineer/Architect
(Please print name &circle license typ) •FS468 u ing Inspector
'Growl, Building, Resldentlof or Roofing Contractor or any individual cerN/led under d68 F.S. to make such on Inspection.
On or about I did personally Inspect the rl2gf deck nji lm
(Date)
work at: O
(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
mnt)
most
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Sign an I
STATE OF FLORID
COUNTY OF �..
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License #
Sw to and subscribed before me this __.daq a 20
by Ci0"fJ'UV&S# _. WhVMMMa1IV kno n to me or who has produced
a
Notary Public, State of Florida
Signature of Notary:
Commission Number: �
En 01/19/2011
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RECEIVED OCT 10 201y