HomeMy WebLinkAboutRoof Inspection Affidavit if
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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
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Re: Permit#
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licensed as a(n)Contractor*/Engineer/Architect
(Please print n e&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to makel such an inspection.
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On or about '9414 w ij I did personally inspect the roof deck nailing
(Date)
work at: (21 �- C �d21 r o 14
(Job site address)
Based upon that examination I have determined the installation wasl'done a(cording to the current
edition of the Florida isting Building Code Section 611 or the product approval submitted (whichever is
most strigent I
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Signa r and Seal License# }
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STATE OF FLORIDA
COUNTYOF
Sw n to and subscribed before me this da of 20�, "1O1"' LASHAHNA INGRAM
y .=�s ;4 V^'ary°rhlic State of Florida
by Q Who is personally known to a or who has pro 8 4 .
mrn Expires Dec 20,2018
as identification. Comrnission # FF 177249
'!ended through National Notary Assn.
Notary Public,State of i a
Signature of Notary: o
Commission Number: (Seal)
En 01/19/2011 i
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