HomeMy WebLinkAboutInspection Docs I, K C t_'_. Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
jo 1,t —. Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
.. _ _ Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT
Re: Permit#1
1, rAr Ll--Is G LL-1,05 , licensed as a(n)Contractor*/Engineer/Architect
(Please printl name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 FS.to make such an inspection.
On or about I 11512,0 15 1 did personally inspect the roof deck nailing
(Dat&)
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work at: 24f 6 F--5I a el e6gie -, R Percc R-
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(Job site address) .
Based upon tha xa ina on ave deter ned the installation was done according to the Hurricane
Mitigation ro it an al as on .844 F.S-)
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Signatur a d eal License#
STAT E OF FLORIDA
COUNTY 017,6, .(L LAC'II
Sworn to and sub ibed bAfore me this day of C 20.
by Ie(�7J �� 2(A15 Who is personally known to me or who has produced
as identification.
Notary Public,State of Florid
GAIL A� si
Signature of Nota : ` — :?A P 4..,.
oPEYMAN
1 •� SeoR ry Public-State of Florida
Commission Number: .• MYy``��
(ssion E (res Jan 4,2018
Cmmisslon*FF 074781
En 01/19/2011 o
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