HomeMy WebLinkAboutInspection Docs (2) i
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
it Re; Permlt �u
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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 R� 1L '�C Dsl , L, I did personally inspect the roof deck nailing
(Date)
c.
work a
(.lob site address)
Based up at examination I have determined the installation was done according to the current
edition hof F ida Existing Building Code Section 611 or the product approval submitted (whichever is
most strigent).
Si nature and Seal License#
STATE OF FL RIDA
COUNTY OF �\1J
Sworn to and sub cribed before me this ,�1 day ofd-,�7_ 20N1
by e, Who is p� nown tone or who has produced
as identfficatron.
I
Notary PIublic,State of F id
Signature of Nota
Commission Number: (Seal)
En 01/19/2011
o"v'aU SHREISS SCHWAS
Notary Public-State of Florida
Commission#FF 205427
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Mar 3,2019
Off
1, My Comm,Expires
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