HomeMy WebLinkAboutRoof Inspection Affidavit 1011312015 08:20 All Area Roofim. IF"A )772 464 6600 P.0011001
_ Planning& Development Services
• '�- Building& Code Regulation Division
2300 Virginia Avenue
F Pierce,
ortFL 34982
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Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit v�l
I, les ! �CttTJ� , licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
'General,Building,Residential or Roofing Contractor or any individual certified under 458 F.S.to make such an inspection.
On or about ti-1��� , I did personally inspect the roof deck nailins
(Date)
workat:
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition oft a Florida Existin Building Code Section 611 or the product approval submitted (whichever is
most ,tri E n
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF
Swor tgg and subscribed Defo,re•me this 20 ,
by1�11r�S( aCC h+zfs personally known tome or ho has produced
as identification.
Notary Public,State of Florida L
Signature of Notary:
- ar,��
Commission Number: (Seal) f/
En 0213.912011• RECEIVED OCT 1;`3 1015
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