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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