HomeMy WebLinkAboutRoof Inspection Affidavit ,
2015-08-17 11 :33 THE ROOF AUTHOR.17'y
>> 77
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Planning&Development Services
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, Fl.34982
772-462-2165 or 772-462-2172
Fax:772-462-6441
ROOFINSPECTION AFFIDAVIT
Re: Permit# SLC 1508-0040
ChrisLoLher Long licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
sGencral,suoding,Residential or Roofing contractor or any individual certified under 468 F.S.to make Stich on inspection.
Onorabout Awl IT 20 15 ---, I did personally inspect the roof deck naillinit
(Da
work at: 7905 Santa Clara Blvd Bort Pierce,Florida 34951
(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
gent),, )a CCCO56933
Sign 4t) Seal license#
STATE OF FLORIDA
couNTYoF jnr)j(An—JfVCf-
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Sworn to and subscribed before me this day of Awwjil5i- 20iti
b hnSfDt',.)hr-r ! an.l'+. who is personalliknown-io me or who has produced
as Identification.
Notary Public,State of Florid
Signature of Notary. Nilw- l
_ u, LL111-mN'M,
commission Number: E E E5S-7 F 6 8 (Seal)
Enol/19/2011
CATHERINE NEWMAN
Notary Public-Stitt of FR�W*Wft
F
Co0 FF$2711811
RECEIVED AUG 7
My Comm,Ent("Nov 1.2
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