HomeMy WebLinkAboutRoof Inspection Affidavit (2) Planning&Development Services
' "�.° iBuilding&Code Regulation Division
• 2300 Virginia Avenue
Fort Pierce, FL 34982
772.462-2165 or 772-462-2172
Fax: 772=461-6403
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F INSPECTION AFFIPAVIT
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Re: Permit# 541 - D 5;25-
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a5-( r, �gtra4 eY , licensed as a(n) ontra n /Engineer/Architect
(Please print name&clyde *FS46 license type) t3 Ins pactor
*General,Building,Residential or Roofing contractor or any individual certified under 458 F.S.to make such an inspection.
On or about - lgDZi 5 , I did personally inspect the roof deck nailing
(pate)
work at: _5qd SOVI-e f
(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).
Signet a Seal � License#
STATE OF FLORI A
COUNTY OF�I- L l�,,c
Sworn to and subscribed before me this ✓qW 20J
byLCA ....1 t Ylo„,rrt-,� ff. �persbnallykno—w--611-lome of who has produced
Notary Public,State of Florl
Signature of Notary: 1`1111i11+illil
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Commission Number: (Seas) ` 11 Bp '11
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En 01/19/2011 Q t2.z A•'•
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