HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
,3" --. : .9 Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
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ROOF INSPECTION AFFI,.:.v,
Re: Permit# 00q(
I,W i[I I4WL OIL a'IAgC. , 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 under468 F.S.to make such an inspection.
On or about D2- , I did personally inspect the roof deck nailing
(Date)
work at: //7' SLIM' Z Ti?�wf .
c (Job site address)
Based upon that examination I have determined the installation was done according to the current
edi on of the F rida Exi Building Code Section 611 or the product approval submitted (whichever is
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Signa and S I License#
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STATE OF FLORIDA
COUNTY OF SE. L-uC/E
Sworn�to and subscribed before me this o�9t day of V m 20L
byGU/� �/�,� d�I Who is personally known to me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: 3 01. (Seal)
En 01/19/2011 NANCY ROSE BRAUN
Notary Public,State of Fiorlda
i• - My CmmWm#FF32501
B*es July 28,2017
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