HomeMy WebLinkAboutRoof Inspection Affidavit it
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Planning&Development Services
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Building&Gode Regulation Division
23.00 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
a Fax.772-462-6443 -Wrzz DI
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ROOF INSPECTION AFFIDAVIT JUN 0 120%
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PERMITTING
St. Lucie County, FL
Re: Permit# « ---d
licensed as a(.)Contracto %Engineer/Architect
(Please print name&circle license type) *FS4 ' _ ng Inspector
*General,Building,Residential or Roofing Contractor or any Individualtertifled under4b8•F.S.to make such on inspection.
On;.orabout %,, i l Idid personally inspect the roof deckinailing
(Date)
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work at: `�D R Ly j I l nt �bf�.
(job ite address)
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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 strigent).
Signature and Seal License it l
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STATE OF.FLO } I,,
COUNTY OF '
Sworn to and subscribed before me this. S�day of 20k
by('�lGifiAl2•t) "'(`D_t�ci+tA1� Who is personally,known to me or who has produceiid
VU A- M DUOS LtCC WSE as Identification.
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N. Public,State of 4 � ill
I nature of Notary:• e° State.olFloritld
Co n Number: ` (SeIiCominfSsionF.>�kes04�2012019
Cam ftlon No.FF 114670
En 01/19/2011 I,'113orldedthtot(�fASuf@ty
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