HomeMy WebLinkAboutInspection Docs oct. 05.2015 08:16 One Coni;' ".fiction Services 7723369379 PAGE. 1/ 1
tanning& Development ServIces
Building 84 Code Regulation Division
. ' COUNTY 300 Virg nia Avenue
ort Pierce, FL 349$2
72-462-2165 or 772-4622172
ax:772-462-6443-
ROOF
OOF IN PECTI N AFFIDAVIT
Re: Permit# ` 9 4 6 Z
I, ~ + , licens d as a(n)Contractor*/Fngineer/Architect
(Please print name&circle I c ;nse ) *FS468 Building Inspector
*General,Building,Residential or of! to r anyIndividual ce t!fled under 468 F.S.to make such an Inspection.
On or about 1016 1 1 , I did personally inspect the roof deck nailing
(Date)
work at:
(Job siteaddress)
Based upon that examination i have determihied the installation was done according to the current
edition of the Florida Existhig Buildir g Code 5ection 61 L or the product approval submitted (whichever is
most strigent).
Signature and Seal License#
STATE OE rL RIDA
COUNTYOF •L.0
Sworn to and subscribed before this daN of IlUmAS4 20n
by ` O t 11 M gL_. Whr is person Ily kno to me or who has produced
as idE ntificatlon
Notary Public,State of Florida
OE
Signature of Notary: JENNSSDNIFER 910
,AM, EX IRES: anu rFJr,2010
Commission Number: (Seal) EXPIRES:danuaryZB,2Dlb
M BdTAraautp#Mef�ry
En 01/19/2011
RECEIVED OCT 05 2015
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