HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
�_- Building& Code Regulation Division
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2300 Virginia Avenue
NTY
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT RECEIVED MAY 2 3 ^�
Re: Permit#
I, Jamie Cisco licensed as a( Zo:nt:r;acl;�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 "- 9 I did personally inspect the roof deck nailing
(Date)
work at: � 7-I S Dr. a 4
(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 s igent).
CCC1327796
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF Martin
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Sworn to and subscribed before me this_CSC:Z_-day of NOLA 201
by Jamie Cisco Who is erg s_ otily known to me or ho has produced
as identification. �-
Notary Public,State ofyy1rA4'.,-
Signature of Notary: 2- -
Notary
vp; ALY'SS HAMPTON
Commission Number.-"-
FF 110d08 _ � Public-State of Florida
Commiiision N FF 119908En 01/19/2011 �; OF F� . , My Comm.Expires Jul 18,2018
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