HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT0111812018 08:32
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P.0011001
Re: Permit # 1712-0334
Planning & 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
I, K►aidjo 44" , licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Bulld/ng, Resldentlal or Roofing Contactor or any Indlv/daal certMed under 468 F.S to make such an Inapectlan.
on or aboutI did personally inspect the roof deck nalline
(pate)
work at: 902 JACKSON WAY, FT PIERCE, FL 34952
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida,tExisting Building Code Section 708 or the product approval submitted (whichever
Is most striae x)i .
S}gnature and Seal
CCC1330337
License #
STATE OF FLORID
COUNTY OF
Sworn t and subscrib d before me this �� day of 20
by A/ , dO . Who is personally own to or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary; „(/L(JJQ.4
Commission Number: (Seal)
En
• :rasa Ann® Fasano
ARY PUB41C
ySTATE OF FLORIDA
Comm# GG126275
Expiras 7119/2021
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