HomeMy WebLinkAboutBuilding Permit Application (2) Planning & Development Services
Building& Code Regulation Division
2300 Virginia Avenue
COUNTY Fort Pierce, FL 34982
772-462-2165 or 772-462-2172 ®eta
Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT
Re: Permit#�_� 1d6
1, licensed as a(n)(ontractor* 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 on inspection.
On or about_�Z -ZC—Z 0(7 , 1 did personally inspect the roof deck nailing;
(Date) ;�
work at: G d L /1QQb �' Z65 ✓T RIVC �U(�? 1"�CRS I� �..3�19�5
(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 mo rigent).
Signature and Seal License#
STATE OF FLO I�A� ,
COUNTY OF � Jn J
Sworn to and subscrLbed before me this�4_day of IY 20_Z7
by 44,010 Who is personally known to me or who has produced
�rJ� �YirFy L as identification.
Notary Public,State of F orida
Signature of Notary: 0 tn•cY+OQ N'�Y.';'4�
JORGE L FIGUEROA
Commission Number: FE2 5t 03 2. * * IftapISSION#FF 215882
EXPIRES:March 31,2019
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