HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITSt
Re: Permit #—[ 1 0 �
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982,
772-462-2165 or 7.72-462-2172
Fax: 772-462-6443
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I, — 4 �G.i' �• �� e ,licensed as a( �o�ntractor*Engineer/Architect(Pleaseint name &circle license type) *FS46pector /
ROOF INSPECTION AFFIDAVIT
*General, Building, Residential or Roofing Contractor or any individual certified under468 F.S. to make such an Inspection.
On or about 3�%9��� , I did personally inspect the roof deck nailing
(Date)
work at: 35 01lye-+Ale �' Q1_.V A
(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
I ost strigeml.
Signature gnd Seal
GSA 13 a (a
License #
STATE OF FLORIDA
COUNTY OF /I/MWC ��V-%_
!���s
s ____[_L day of MQ,rc,�,20gWhois.oersonally knowntome or who has produced
identification
Notary Public, State b
Signature of Notary/
Commission Number:
En 01/19/2011
i �'`"""� REBECCA RESTIFO
a�, MY COMMISSION # GG91863
�i �nc�T E}6'IRES: May 17, 2021
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