HomeMy WebLinkAboutRoof Inspection Affidavit 0412812016 10:12 All Area Roofing SAX)772 464 6600 P.001!001
Planning& Development Services
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Building&Code Regulation Division _._.
0 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
1, _CCC`_�CQf CS , licensed as a( ontrac /Engineer/Architect
(Please print name&circle license type) *F5468` uilding Inspector
*General,Building,Residential or Roofing Contractor or any individual certlfled under 468 F.S.to make such an inspection.
On or aboutA(Acz I did personally inspect the roof deck nailing
(Date) r�
work at: 5"1 IVYr NLI ,
(job site address)
Based upon that examination I have determined the installation was done according to the current
editio of he Florida Existing Building Code Section 611 or the product approval submitted (whichever is
mo s ent).
C� 7/Z
Signature and Seal License#
STATE OF FLORIDA
COLINTyOF .�e?
Swo i% o and subscri d before m�te,this( ay ofCA-,"1020/
by ��P. �,r x4,d�I1^i. Who Ispersonai�known t me or who has produced
as identification.
Notary Public,State of FI "d
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011
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t EXPIRES:November 12,2016
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