HomeMy WebLinkAboutInspection Docs 0311012016 15:36 All Area Roofing O:AX)M 464 6600 P.00 1100 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#
oLac
Z.S ai-CIS licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any Individual certified under 468 F.S.to make such an inspection.
On or about 0 1 did personally inspect the roof deck nailing
(Date)
work at:
(job site address)
Based upon that examination I have determined the installation was done according to the current
editionFlorida
ida Existing Building Code Section 611 or the product approval submitted(whichever is
e Flor
mo t ent).
Signature and Seal License#
STATE OF FLORIDA 41
COUNTY OF
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by CIA aj�&S \�—W-—7s—pe—rso ially known or who has produced
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as identi Ica 'on.
Notary Public,state of Florid
Signature of Notary:_
Commission Number: (Seal)
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En 01/19/2011 V
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My COMMISSION#FF125420
EXPIRES May 21,2018
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