HomeMy WebLinkAboutRoof Inspection Affidavit Planning&Development,Sarvices :a
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Building& Gbde Pegulation Division
COUNTY
2,300 Virginia Avenue
Fart Rerce, FL349M
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772-462-2165 or 772-462-2172
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Fax 772-462-6443
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, I�"�d:tj 2 2 21I'i �IWlEl fiION.APRDAVIT
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Pei Permit# �
1, t LcAn licensed as a(n)Obntractor*lEngineer/Architect
I (Flease.print name&circle lioenM type) #MAW Building Inspector
I' *General,8ui€tfing,Ftasitjertt€ai or Poof€ng CDrttractor or any€r d%Adual certified under 468 FS to make such an inspection.
On or about :, 1
I did personalty inspect the roof deck nailing
(gate)
work<at;!� ��
(,bb site address)
Based upon that examination l have determined the"installation was done according to the current.
edition of fine Florida Bdsting Building Ovide Section611 or the product approval submitted(whichever is
most stri nt}.
9gnature d Uoense#
S'rA'IEOF �q
600m ofMCdtO A Iei
svorn to aud subsmVEe before me thi b
by is: sonify Wown to n e r who has produced
asiddritificairon.
'Notary-Public,Said of Florida o<'"""�°�,. SONIA DESTANEY f
Sgnature of Not
MY caM�ntssio #Fi, sazu
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(bmrrisson Number: (awl} o�N� xr'tr3es may ,20 a
(407}398-0153_ F10rlddr`lot8rysemcexom
En 01/19/2011