HomeMy WebLinkAboutRoof Inspection Affidavit 0811012016 09:02 All Area Roofing O:AX)772 464 6600 P.0011001
Planning& Development Services
Building & Code Regulation Division
2300 Virginia Avenue
o Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# /60-1- Or' 9
0
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1, -, licensedas n)C�ontrac */Engineer/Architec:�t
(Please print name&circle license type) *FS46 Building inspector
*General,Building,Residential or RopflingControctor or onyinclividoof certified under 468F,5,to make such an inspection.
On or about --, I did personally inspect the roof deck nailing
(Date)
work at: jlf)ro,!�
I (Job site address) 9 51
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 glint}.
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7
Signature License#
STATE OF FLORIDA
COUNTY OF 64, LacL-e,
Sworn to and subscribed before me this day of a0et(SW 202,�,
by Who is personally knownYo me or who has produced
as identitication.
Notary Public,State of Florid
d
Signature of Notary: FAIV MASON
Commission Number: PY 60 (Seal)
my COMMISSION*Go 003939
rXPIRES:Duna Z0,2026
En 01/19/2011