HomeMy WebLinkAboutInspection DocsRe: Permit # l � ( ( -Q�i'
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
I, 01 111461C ,41151 sed 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 ✓j. i/) 6 o2Ur% , 1 did personally inspect the roof deck naili
(Date)
work at: ':S eyv
(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 strigent).
SignaturgoAd Seal G�
License #
STATE OF FLORIDA
COUNTY OF
Swof n� �an subscribed before met i3 d 20j
by VLJ (� 1,� ��� ally Eknow4no me or who has produced
as identification.
Notary Public, State of Florid
Signature of Notary:
Commission Number: ( a
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MEN
Notary Public - State of FloridaCommission # FF 234732oMyComm. Expires May 27,018onal Notary Assn.p;;`°'� Bonded through Nati
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