HomeMy WebLinkAboutRoof Inspection Affidavit To: 17724626443 From: 17724928008 Date: 10/31/17 Time: 2:29 PM Page: 01/01
Planning& Development Services
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Building&Code Regulation Division
2300 Virginia Avenue
fl p Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT RECEOVp_-�
Re: Permit# j t l o—o J 1 2017
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I,11A, 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'013 6 r�1�� 1 did personally inspect the roof deck nailing;
(Date)�� fien(work at: ('J
(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 708 or the product approval submitted (whichever
r`
-Is*T st strigent).
Signatuo anjl Seal License#
STATE OF FLO ID
COUNTY OF
Swot to and subs ' ed before me this�dayof A 2012
b I r Who is personally known to me or who has produced
as identification.
Notary Public,State of FI i
Signature of Notary:
4.R Pi,
Commission Numb - Ae'7AI49 L RYC6CP1lIAN
MY COMMISSION#OFF145513
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