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HomeMy WebLinkAboutInspection Docs Feb 29 16 09:28a Contractor Services 77,?J$l-5830 p.1 Planning& Development Services Building&Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL 34982 772-462-2165 or 772-462-2172 Fax: 772-462-6443 ROOF INSPECTION AFFIDAVIT Re: Permit# SLC 16m -co C l licensed as a( Cantractor* ngineer/Architect (Please print name&circle license type) *FS468 Building Inspector *General,Building,Residential or Roofing Contractor or any individual certified under 468 FS,to make such an inspection. On or abouti(� t4 / I did personally inspect the roof deck nailing (Date) work at: _ �b©N Lot� R1) (Job site address) Based 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 most stri ent). Sign eal License# STATE OF FLORIDA COUNTY OF'R 0('L Q P Sworn to and subscribed bef re me this ��-d of 2D� by�'�VV�j M% _ ho is,personally known to me who has produced entification. Notary Public,State of rida1 ?��J Signature of Notary: ' Commission Number: 1J ` (Seal) En 01/19/2011 DEBRA TYLER My coMMISSION#EE853537 - a . EXPIRES November 23,2016 p071396.07� FlotWaNaSarySeMee�+7! RECEIVED FEB-2 9 2016