HomeMy WebLinkAboutRoof Inspection Affidavit 04/19/16 08:43AM capps 7725464606 Page-,?
Planning&Development Services
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Building&Cade Regulation Division
_. 2300 Virginia Avenue
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Fort Pierce,F!34982
_...R 1-.0�.�...� ^462-2172
Fax:772.462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#��
Ir f i licensed as e(n)Contractor*/F-n ineer/Architect
(Please print name&circle license pe) "F5468 Building Inspector
*&netrrt,8u#dhjg,ltesldenttW orRoaft Ccnrracwor any MoWdudi rerWed upder 468 F.S,to make such on inspection.
On or about 4 1411 I� I did personally inspect the noof deck naltina
(Dace J
ff j�f ,+
worts at: �-0 �`"
(job site address)
Based upon that examination i have determined the installation was done according to the current
edition of the Florida Existing Building Cada Section 611 or the product approval submitted(whichever is
most strigent).
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Signature and Se License# C C05►-� 7
Crura of FLORIDA
COUN7Yaf.,.�,,,_.
Sworn to and cr' ed Fore me this ay of
by . who is personally known tome or who has produced
as idenh c on,
Notary Public,State of Flori ,
� - Signature of Notary:
Cammisslon Number: iSeali
En OV19AMI
ROY FR4MPTQN
ASY CONVMISSION A:
tXP1RES:January 08,^_0i9
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