HomeMy WebLinkAboutInspection Docs f
l � 1
Planning&:Development Services
Building&Code Regulation Division
2300 Virginia Avenue
s Fort'Pi'erce,,FL34592.
0 +.._SIM 772-462=2165 or 7724624172_
:Fax:772-462=6443
ROOF INSPECTION AFFIDAVIT
Re: Perm### � °f
1, epr ,licensed as a �6ntra r*/Eng_
ineer/Architect:
int.name&crce tcend `i
enspector .
*General,6i1!!ding,Resltlentra!„ Raofrng Contractor ony lndividuafcertifred under 468'AS;to make,such an:lnspectlon.
On.o about ! :/l . I did•personally inspect`the:.roof deck hailing
(Date),
work,at .otff' dr'
(Tob site address)_
Based;upon that=exarninatiort i;have`determined"the in
stallation;was done`according.tothe current
edition..of tbe,FEorida.Existing Build Code Section`62 3 or the,product a-pproval submitted (wbichever pis
most strigent).
(" 133Qcc
;Signature:and, eal License##
-STATE OF'FLORID9-
COUNTY OF ^a zrrrr 9 FrtQW
Sworn toand-subscribed before me this
' day, of 20
by Gam+ 1, ,,^ Who is�personally known to me or-who iias produced;
as.ldentiiicatian.
Notary Pubk,.state of Florida
Signature of Notary: 4 LEE DINENBERG
Commission Number:, �' ? ; MY CoMMiSSION*F
pi .
EpXPIRES Se ierribe'04,
(��1.3sa oir 2018
En 01/19/2011 Fioridallota Servica.com
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