HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
- j _ - Building & Code Regulation Division /1
2300 Virginia Avenue
Fort Pierce, Fl. 34982 v
772 462-Z165 or 772-4 -2172
Fax: 772-462-6644 ECEj
J4unoo alon-1 ')S ROOF INSPECTION AFFIDAV OCT
As 0 2 2017
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Re: Permit # S �4�'/_�`
licensed as a(n)Contractor"/Engineer/Architect
(Please print name & circle license type) +FS468 Building Inspector
'Generol, Building,Residential orRoofmg Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about ` /G I did personally inspect the roof deck nailing
(Date)
workat: 3,00 1 Y I+I I 1 ran(—
(Job site address) 3 Y 7
Based upon that examination 1 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)
ignature and Seal
License #
STATE OF FLORIDA $�l-'
COUNTY OF�11n
Ild—
Swam o andnsrbycrib d before me this day of v C 20
by[L. who u personally known to me or who has produced
i as identification.
Notary Public, State of Florida 1
7� Signature of Notary: ! )L 11
Commission Number, J(Seal)
En 01/19/2011
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MY CWtt OQt0N 737E
EXPIBE3 May 23, 2021
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