HomeMy WebLinkAboutInspection Docs 0711812016 08:05 All Area Roc,1�7-�-7 ,- 7AX)772 464 6600 P.0011001
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Planning& Development Services
rtattM ��m..nt nrn I tr' m R N Building& Code Regulation Division
2300 Virginia Avenue
a Fort pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#, 7` D30
licensed as a( Co tracto /Engineer/Architect
(Please print name&circle license type) *FSZ8 Building inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F-S.to make such an inspection.
Dn or about 7� ��� , I did personally inspect the roof deck nailing
(Date)
1
workat;-1ZOL11
{Job site address) Ll� �
Based upon that examination I have determined the installation was done according to the current
edition oft rida Existing Building C de Section 611 or the product approval submitted (whichever is
mosMi . 1 -1-7-7
Signature and Seal License #
STATE OF FLORJDA rr
COUNTY OF
Sworn to and subscribed before me this ! ((L_day of 20/
by Who is personally k own to ye or who has produced
as identification. z�ra
�°.�••-.fir, FAM4MASON
wM
MYCOMM18810NtQG00g899
`�
Notary Public,State of Flo fida , // � �NMRE8:4ee20.202D
Signature of Notary; y�/l `°orF4� sondeeTttig„ 1ty
Commission Number: ' ' 66. (Seal)
En'01/7,9/2011
RECEIVED JUL 18 2016