HomeMy WebLinkAboutInspection Docs mu, p,.. r. �,i�• ,~; •era�F,,:,,,iq;a; .. ,.�.�.,,, Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
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Fort Pierce, FIL 34982
7/2-462"2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECT[ON AFFIDAVIT
Re: Pdrmittjj —{ � y1°1 — 516
(r S6 1 _)CjQjh QF . licensed as a(n) rac t; "/Engineer/Architect
(Please print name&circle license type) FS468 ui ►ng Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such air iVspeetbn.
On or about 'j , I did personally inspect the roof deck nailing
(Date)
work at: n � �TJCiU UD �k _
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition, of the Florida Existing Build III Code Section 611 or the product approval submitted (whichever is
st strigent .
Signature and Seat License##
STATE OF FLOR`i A
COUNTY
Sworn 4 and s bscrib before t�mie this� day Y � 20 4�
b �� we v_ tit D �_ Who is personally known to or who has produced
as iderltifGatinn.
'Notary Public,State of Florida f
Signature of Notary: _
Commission Number: (Seal)
En 01/19J201.1
OM
t tarary public Sri aF;DFWB
e L7i8ne Sunshine
qty COMMIssion FF 105948
OR Expires 44/2,,,,,8
RECEIVED VW1 14 2115