HomeMy WebLinkAboutRoof Inspection Affidavit 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
Re: Permit#
I4 //,q 14censed as a(n)Contractor*/Engineer/Architect
(Please prAt 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.
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On or about /7"'0 y / , 1 did personally inspect the roof deck nailing
(Date)
work at: G
(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
is most s '
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T0FFL0RlD%,k,,,4,
re and Seal License#
NOV 1 �� 2017
ST
COUNTY OF
Swor to and subscribe bef fe m,a this ) day of rV 20 7,
by ArYT)4 9�1� ('� C-(o� . Who is personal) nown me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
En
Pip AUDREY B.HUMPHREY
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ra chF6,20192
C _;1 `, t'_::!.._ `sQi F�; Bonded Thru Notary Public Underwriters
NOV 13 2017