HomeMy WebLinkAboutNotice of Commencement Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
s Fort Pierce, FL 34982
-°' 772-462-21.65 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
1,_ � � ,f�CGr�d 2-- licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about /I , i did personally inspect the roof deck nailing
(Date)
work at:f fe 3 Z a�6�- E ,
(Job site address)
Based upon that examination l 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 igent).
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Signature and Seal License#
STATE OF FLORIDA '
COUNTY OF
Sworn o d subscribed before me this QV 20
by_ � IV' is ersonally known t me or who has produced
as identi ' atior
Notary Public,State of Florida l�J
Signature of Notary:_
Commission Number: (Seal)
En 01/19/2011
ANGELA M HUFF
ao„ . Notary Public-State of Florida
•= commission#FF 234730
My Comm.Expires May 27,2019
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,OF �II'` Bonded through National Notary Assn.