HomeMy WebLinkAboutRoof Inspection Affidavit 12/06/2016 06:47 _ 7722877763 CODE RED ROOFERS PAGE 01/01
Planning&Development Services
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Building&Code Regulation Division
2300 Virginia Avenue
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Fort Pierce.. FL 34992
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPE=CTION AFFIDAVIT
Re: Permit# --� - 014 74
licensed a (n)Contractor*/ gineer/Architect
(Please print me&circle license type) *FS4 nspector
General,Building,Residential or Roofing Contractor or any indiv/dual certified under 468 F.S.to make such an inspect'fon.
On or about Z2AA I did personally inspect the roof deck nailing
(Date)
cc
work at: 17Qtr
(ibb 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 strigent).
'signa•tur and Seal License#
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed Pfore me this 0 day of
by . � Who is ersoii n o me or who has produced
as identification.
Notary Public,State o FI a 1�1���9aI1sr9asaA�i
Signatureof Notary: ��<,��
Commission Number:
En 01/19/2011
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RECEIVED DEC 0`6:1016