HomeMy WebLinkAboutRoof Inspection Affidavit To: 17724626443 From: 17724928008 Date: 03/24/16 Time: 8,1-', AM Page: 02/02
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Planning& Development Services
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M. &Code Regulation Division
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ti 2300 Virginia Avenue
A' Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# tbl��'
!, Q ` licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle lice ) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such on inspection.
On or about 'a> `a AI did personally inspect the roof deck nailing
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work at: Ot l� 1 /vC•��(�C�i� ��
(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 strigent�
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Signature and Seal License#
STATE OF FLORIDA
COUNTY OF���.
Sworn to and sybscribed before me this day of &Z-g 2a
by 90g C Who i onally known to me or who has produced
as identification.
Notary Public,State of Florida _
Signature of Notary: 1 �;; ��&
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Commission Number: a ;:
My COMMISM IN!rt FF93644a
En 01/19/2011 ,er. EXPIRES November 16,2049
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