HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
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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# �/'� 7
I, l'tJO�J l:,O�,,,Q t licensed as a( Contractor /Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*Gener 1,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about '�b —Co ( I did personally inspect the roof deck nailing
(Date)
work at: 'T5 a®o ���"� t�a�r�R. D�cJA� • _
(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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Signature and Seal License#
STATE OF FLORI
COUNTY OF - L-�c i
Swor to and pubscribed before me this " day of ALL C&34 20
by VNich-r Cd I I e-4-i- Who is personally known to me or who has produced
as identification.
Notary Public,State of Flora CASEY BINKLEY
Signature of Notary: MY COMMISSION#FF238333
Commission Number: 3 3 (Sei I
EXPIRES August 16,.2019
En 01/19/2011 ' ..
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