HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#Its,
1, Jamie Cisco , licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468FS.to make such an inspection.
On or about I did personally inspect the roof deck nailinlg
(D te)
work at: 8240 Sandpine Circle
(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 s 'gent).
CCC1327796
rgnature and Seal License#
STATE OF FLORIDA
COUNTY OF Martin
Sworn to and subscribed before me this V day of 11A 20�,
by Jamie Cisco Who is pers-giially known to me r who has produced
as identi kation.
Notary Public,State of Flori-
Signature of Notary: 9
Commission Number: FF 119968
o.�a+ os•.,, AIYSS HAMPTON
En 01/19/2011 Notary Public•state of Florida
s: '�= My Comm.Expires Jul 18,2018
Commission #FF 119908
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