HomeMy WebLinkAboutInspection Docs Planning& Development Services
Building& Code Regulation Division
2300 Virginia Avenue
, COUNTY Fort Pierce, FL 34982
D A
F L 0 R 1 772-462-2165 or 772-462-2172
Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT a CP
Re: Permit#
licensed as �n)Contractor*/ ngineer/Architect
(Please print na'me&circle license type) *F g nspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about ,to— I did personally inspect the roof deck nailing
(Date)
work at:1 a Y—rl l 0
Q(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
moststrigent).
C— C'
nature an eal License#
STATE OF FL O&I
COUNTY of LL C"4&
Sworn to and subscribed before me this 8 day of 0 JQ12e.r- _20
by :TJ& Who is onally kkn—d n to me or who has produced
as identill!ca�on.
Notary Public,Stat of lor* a
Signature of Notary.
Commission Number: (Seal)
En 01/19/2011
RYAN LYNN COLLUPY
MY
COMMISSION#FF17020
27
18
EXPAES October 2l,2
1Floridallotaryservice.com
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