HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit #
I, CC�a�,�.,1 , licensed as a Contractor* Engineer/Architect
(Please print name & circle license type) *FS468 Bui ing Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about -%! 9— 1 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 stA"ntW 7
re and Seal
STATE OF FLORIDA
COUNTY OF
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License #
Sworn to and subscribed before me this _�q day of 7U�, % 20 �%
by C �'F�tf�� %y%' Who is personally known to me or who has produced
as identification.
Notary Public, State of /
Signature of Notary: Flor'�•C_
Commission Number:
En 01/19/2011
(Seal)
ORAN
RICKY CARL CofFlY
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Notary Public -State ori a
Expires Apr 26. 2018
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Commission # FF 07988Assn.
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