HomeMy WebLinkAboutInspection Docs . i
Planning 8t Development Servltes
.. .; �nr�{:^sr ��/��}{tF :rrV .�� �•:,�,,, Building&Code Regulation Division
23M Virginia Avenue
Fort Pierce,FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
MF 1NSPEMON AFFIDAVIT
Re: Permit# sI�D7
1, i ✓I / licensed as a(n �ontracto /Engineer/Architect
(Please print name ate Circe liven type) "F546pector
*General,Building Residential orrRRoofng Contractor or any incMdvd cenVtd under 468 F.S.to make such an inspection.
On or about � �// ,1 did personally inspect the roo09&k ling
(pate}.
work at: 710 7 -4 Mo I- ow
(Job site ddress)
Based upon that examination (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
most strigent).
SignaturactVal License#
STATE OF FLORIDA
COUNTY OF Sk-_Lk_ _f
Sworn to and subscribed bafore m this T NexM 201
by personally know a me r who has.produced
all
Notary Public,State of Florida RECEIVED FEB-25,7016
Signature of Notary:
Commission Number:
En 01/19/2011
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