HomeMy WebLinkAboutInspection Docs 10/14/2016 12:28 7724626448 SLC CODE COMP PAGE 02/02
From;Larry Name Fax;(112)361-6580 To: Fax: +1 C772)4921148 Pogo 2 of 2 1all Q201e 12:07 PM
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Planning&.Development Services
Building&Code Regulation Dirrision
2300 Virginia Avenue
' Fort Pierce,Fl.34982
732-462--2-165 or 772-462-2172
Fax.772-462-6443
ROOF IN$PECTION AFFIDAVIT
Re: Permit# 5/-6 ,7109-41)3-62-
it Larry Neese ,licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building,Inspector
'General,8uildiag,Residential or-Roofing Contractor or anyindviduol certIfted ander468 F.S.to make such an inspertinn,
On or about / ` 1 ,i did personalty inspect the roof deck nailing
(Date)
work at: 7842 White Ibis Ln Fort St,Lucie,Ft_34952
(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 str' ent). )
CCC1330608
signature nd Seal License#
STATE OF FLORIDA
COUNTYOF
Sworn to and subscribed befor e this 2Q� day of
by riev r�• Who r personally_known o me arwho has produced
as identification.
Notary Public,Skate of, lqr! 0%y' IMATMRPNG
Y vII�dJSSION YF29
Signature of Notary_ MM.July 10.2a2o
Commission Number - f
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