HomeMy WebLinkAboutRoof Inspection Affidavit 1212912015 09:56 All Area Roofing TAX)772 464 6600 P.0011001
Planning& Development Services
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Building.& Code Regulation Division
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2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2 .65 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit
licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residentlol or Robfing Contractor or any individvol Certified under 468 F.S.to make such an inspection.
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On or about �'(' �/ I did personally inspect the roof deck na{lint;
(Date)
work at: 45t St
(Job site address)
Sated 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
ot
trigent). �
C �-01 V;I Zztp!--1"1
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF '�AJ�C�R
swom to and subscribed before me this Q9 day of
by O�eS ` Cl,r-dS .---. Who isona mown rwho has produced
as identification.
Notary Public,State of Florid
Signature of Notary:
Commission Number; (seal)
En 01/19/2011
""° SONIA DESTAFNEY
*{ "= My COMMISSION#FF125420
?�..r r EXPIRES MFty 21.2018
(40396-0i53 FtoridallotaryService.com
RECEIVED DEC-2 92015