HomeMy WebLinkAboutInspection Docs 2015-09-04 12:48 !.a.tayl"--"roof ing 772 468 8397 > P 1/1
Planning&Development Services
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
- 772.462-2165 or 772-462-21
Fax: 772-462-6443 C
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ROOF INSPECTION AFFIDAVIT 4 2015
BY.-
Re.-
Y.Re: Permit#
1, licensed as Contractor*/ ngineer/Architect
(Please 6rint name&circle license type) " g nspector
*General,8ullding,Resldentlo or Roofing Contractor or any Individual certll led under 466 F.S.to make such on inspection.
On or about I did personally inspect the roof deck nailing
( te)
work at-
(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);j
Signature and Seal License#
STATE OF FLORI l '
COUNTY OF /
Sworn t d sub crked.b fore me this of
WhoLisperi2ally by Whknown tome or who has produced
as identification.
Notary Pu Florld
Signature o cS--
Commission Number: 71 (Seal)
En 01/19/2011
0 Z" w
n. KAREN� S. IELSEN
Commission N r=r:1156,37
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