HomeMy WebLinkAboutRoof Inspection Affidavit 04/20/2016 11:43 7722190931 THE UPS STORE 3023 PAGE 01/01
Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-216S or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re; Permit# 0y_ rq
Jamin Cisco licensed as a(n)Contractor*/Engineer/Architect
(Please print name 9 circle license type) *FS468 Building inspector
General.Building,Resider tion or Roofing ControCtor or any individual certified under 468 F.S.to make such an inspection.
On or about_Lj- I did personally inspect the roof deck nailm'
(Date'
work at: jr04P;-,eCC-e c�44 Cio
(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
ngent "
CCC1327796
ignature arid Sea T------ License#
STATE OF FLORIDA
COUNTY OF Mattill
Sworn to and subscribed before me this c�day of2*&
- &,Q0 . . _
by Jamie C Soo Who is personally known tro"me or who hasTroduced
as identification,
Notary Public,State of HAP ..........
Signature of Notary; - W.
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Commission Number:._ (S �j-
S:Cjobar29.2017
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En 01/19/2011