HomeMy WebLinkAboutRoof Inspection Affidavit Dec.28.2016 12:31 PM STRATUS ROOFING 4076549129 PAGE. 1,/ 1
Planning& Development Services
Building&Code Regulation Division
2800 Virginia Avenue
e R , Fort pierce, Fl-34982
772-462-2165 or 772-462-2172
Fax:772-462-6448
R09E INSPEG'TIQN AFFIPAVIVI
Re: Permit# SLG !(or�"_0V tq
licensed as a(n)Contractor"`/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector r
*General;Building,Residential or Roofing Contractor or any IndUd ual certified under 459 FS,to make such on Inspection.
On or about. k
i did personally inspect the roof de r nalline
(Date)
work at: 10 1 N , . a��o+�-+°� Awe ,
(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 strigent).
-
Signature and Seal License##
STATE OF FLORIDA
_ COUNTY OF
Sworn to and su scrlbed before me this day of C er► 20 1 f&
by PACUMIN6Wha.s ersonall known to me or who has produced
as identification.
Notary Public,State of Florida0
'Signature of Notary: 4�ft
Commission Number: (Seal)
En 01/19/20.1
TIFFANY LOBO
MY COMMISSION tix FF iomea
ff EXPIRES FebruaiY 08\2019
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