HomeMy WebLinkAboutRoof Affidavit Jul 21 1411:15a Restorsurance Services 321-445-5593 p.1
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
Re: Permit# -?)992-
l'— j()5e :5U-M licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *F5468 Building Inspector
*General,Building,Residential arRoofing Contractor crony individual certified under 468F.S-to moke such an inspection.
On or about 2 1 did personally inspect the roof deck nailing
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work at: w1l C' --)Pt12E:M(3n &A
(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 strigent).
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Signator i 4dsV License#
STATE OF FLORIDA
COUNTYOF Qr(InrAe,
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Sworn ti?and subscribed before me this day of 20W
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Notary Public,State o F orld
Signature of Notary:__
Commission Number: 11 (Seal)
En 01/19/2011
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