HomeMy WebLinkAboutRoof Inspection Affidavit 0710712015 08:16 ONSHORE ROOFING SPECIALIST (FAX) P.0011001
Planning& Development Services
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Building ME
g & Code Regulation Division .
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
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- r Fax:-772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
Kc- u 11) < licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building inspector
*General,Building,
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Residential or Roofing Contractor or any individual certified under 468 F.S.to make such on inspection.
On or about -�•r� �O �O , I did personally inspect the roof deck nailing
(Date)
work at:
(Job site address)
Based upon that exanAination I have determined the installation was done according to the current
edition of the Florid isting Building Code Section 611 or the product approval submitted (whichever is
most strigent).
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5ignat re and Seal License#'
STATE OF FLA, pF�? ,449
RID
COUNTY OF w
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Swo o'an subscr'bed before me this day Qf
by L1 Who' to me or who has produced
as ide t1 ion.
Notary Public'.,State of FI ri
'Signature of Notary:
Commission Number: {Seal)
En 01/19/2011
SHREISSSCHWAB
'1 Notary Public-State of Florida
commission#FF 205427
FIWOM1Op; My comm.Expires Mar 3,2019
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