HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT_ z
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SCANNED
By
St Lucie County
Re: Permit #SDI - 00 1
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a. 1 G oa
(Please print name & circle licensertype)
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
*General, Building, Residential or Roofing Contractaror any
or 772-462-2172
: 772-462-6443
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P.0S . udeu
licensed as a(n)Contractor*/Engineer/Architect
*FS468 Building Inspector .
certified under458 F.S. to make such on inspection.
On or about 2� Z 211g I did personally inspect the roof deck nailing
(Date)
work at: -%3 Z>3 Qu C, 9C-
(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 I
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Signature an al License #
STATE OF FLORID
COUNTY OF �.tsr2
Sworryeo and subscribed before me this 201
by ntr:Ti�` `{ Who is pe nally known me or who has produced
identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number:
En 01/18/2011 �r
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