HomeMy WebLinkAboutInspection Docs oct.22.2015 13:31 One CcrnTtruction Services 772336937"--,, PAGE. 1/ 1
Planning 84 Development Services
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�! Building 8 Code Regulation Division
00 Virginia Avenue
Fort Plerc , FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
R 30F INSPECTION AFFIDAVIT
Re: Permit# � �ia a��5� hod� —���•—40(�� s
I, A Lk rk ck licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle li a ise typ ) *FS468 Building Inspector
'General,Building,Residential or Ro fl g Contra or or any)idI vldual car Ifled under 468 F.S.to make such an inspection.
On or about '/ I did personally inspect the roof deck nailing
(Date)
work at: SO V n - 1 cYi el' . _IFL 3 V qq
(Job siteaddress)
Rased upon that examinatic n I have Jetermined the installation was done according to the current
edition of the Florida Existing Buildin g Code Section 611 or the product approval submitted (whichever is
most strigent).
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this 2•. day of a GT V F-w 20 1
by /L✓9z-)C.11; 14,fte I-I.A 03A. Who is persona ly kno tc me or who has produced
as Ide 1 ficatl n.
Notary Public,State of Florida
Signature of Notary: c
xw; r � Eff-M
Commission Number: / l (5 `
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