HomeMy WebLinkAboutRoof Inspection Affidavit.
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Planning &°Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
RECEIVED
772-462-2165 or 772-462-2172
Fax: 772-462-6443
FEB 0' ?U18
Permitting Departme
St. Lucie Counf-
ROOF INSPECTION AFFIDAVIT
Re: Perm !t7-1 1 `
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licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle lid nse type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about oz ( , S l . I did personally inspect the roof deck nailing
(Date)
work at:
(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 S
STATE OF FLORIDA/
COUNTY OFI�VIC�
CcCt330�S
License #
Sworn and whscri ej� before me this 1 G 20J�
by _ tiC'� } i� l� Who is na ly knoyr to me or who has produced
tification.
N .i otary Public, State of Florida
Signature of Notary: ,
Commission Number:
En 01/19/2011
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