HomeMy WebLinkAboutRoof Inspection Affidavit 1110412016 13:11 SEACOAST BANK WEST MORELAND (TAX)772 337 6111 P.0011002
Planning&Development Services
Building&Code Regulation Division
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* 2300 Virginia Avenue
UNTY
� ft _11 , Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772.462-6443 RECEIVED fV® / Q
ROOF INSPECTION AFFIDAVIT
tII.
Re: Perm it#- (D �"P�f.� •
I, licensed Contractor* ngineer/Architect
(Please p name&circle license type) * spector
`General,Building,Residential or Roofing Contractor or any Individual certVled under 468 F.S.to make such an Inspection.
On or about I& 4%A�/ 1 did personally inspect the roof deck nailing
(Date)
w
work at; k s(s� fid. _1ffiN� Dmme-.
(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
m t strigent).
znature and Seal License#
STATE of FLORI�D,6a
COUNTY OF 0
Sworn to and subscrib i before me this q b day of tV oy 4AlCZ<- 20�
=6 CS art. Who Is personally known tome or who has produced
as identr ice ian.
Notary Public,State of r 0 -�
„� �� ����� !;�.,,�� 7-state-
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Signature of Notary: ;a Notary Pof Florida
Commission Number: My Comn 1,2018Camm111485
En 01/19/2011 ��''�8;;:�`+ Bonde4ThNotary Assn.