HomeMy WebLinkAboutEubanks AffadavitRe: Permit #1CPlj-C `�
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
1, Jamie Cisco licensed as a(n)Contractor*/Enginee r/Architect
(Please print name &circle license type)
*FS468 Building Inspector
-*General, Building, Residential or Roofing Contractor or any individuaf certified under 468,c,:5. to make such an inspection.
On or about i , 3 ) , I did personally inspect the roof deck nailing
(Date) ^ 7� (�
J A r ir"' ! i"` f 1 <' � S.r _ 7 1 tr' f l
work at-.
(.lob 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).
CCC1327796
g ,dre and Seal License #
STATE OF FLORIDA
COUNTY OF Martin
Sworn to and subscribed before me this
day of " ilUG. 201
by Jamie Cisco Who is personally known to Me or who has produced
as identification_
Notary Public, State of FI
Signature of Notary:
Commission Number: _
En 01/19/2011
W;_ • - ofFb"
, fir V4. Notary PUM State
Marihln KILWWI
iion
My Cmrmss�on Ft= 230179
�q Expitr3s 06128120t
_ � s
NTY
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>FLORID
Re: Permit #1CPlj-C `�
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
1, Jamie Cisco licensed as a(n)Contractor*/Enginee r/Architect
(Please print name &circle license type)
*FS468 Building Inspector
-*General, Building, Residential or Roofing Contractor or any individuaf certified under 468,c,:5. to make such an inspection.
On or about i , 3 ) , I did personally inspect the roof deck nailing
(Date) ^ 7� (�
J A r ir"' ! i"` f 1 <' � S.r _ 7 1 tr' f l
work at-.
(.lob 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).
CCC1327796
g ,dre and Seal License #
STATE OF FLORIDA
COUNTY OF Martin
Sworn to and subscribed before me this
day of " ilUG. 201
by Jamie Cisco Who is personally known to Me or who has produced
as identification_
Notary Public, State of FI
Signature of Notary:
Commission Number: _
En 01/19/2011
W;_ • - ofFb"
, fir V4. Notary PUM State
Marihln KILWWI
iion
My Cmrmss�on Ft= 230179
�q Expitr3s 06128120t
_ � s