HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT07/24/2018 '08 ; 05 A I I Area Roy r "�-g
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Re: Permit #
tar L:S licer�s€d as
(Please print name & circle license
,1F AM724646600
P . 0017001
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Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
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Fax: 772-462-6443
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INSPECTION AFFIDAVIT
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r/Architect
*F5468 Building Inspector
*General. Building, Residential OF Roofing Contractor dr any Individual certified under 458 F.S. to make such on Inspection.
On or about - I dId personally inspect the roof decknailing
(Date)
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workat: Ab o �.A'IT.a __0 In
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(Job �lte address)
Based up hat exa 1natlon 1 ave dete mined the installation was done according to the current
edition he Flc; a Existin ilc�fng C e Section 708 or the product approval submitted (whichever
is mo rit3ent) �
Signature and Sea License #
STATE OF FLORIDA '
COUNTY OF 61-
Sworn to anq subscrlb be ! me this
as
Notary Public, State of nda
Signature of Notary;
Commission Number.
En
ay of 20
naliv known to rde or who has produced
)n.
(seal)
Y Au
' MY COMMISSION GG 003439
UPIRES, June 20, 2020
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