HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
COUNT As. Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT ✓,q F�
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Re: Permit#
I, LTG�o,.6 V,`V 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 Z q 1 8 , I did personally inspect the roof deck nailing
(tDate) E-t
work at: UQ `/`i 91 1 1 c P
(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).
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF Stir, LUQ
Sworn to and subscribed before me this a 5 day of 7S q-r\ 20
by v" Y"S Who is personally known to me or who has produced
L- flL asidentificati
,<a DEANNA MARIE GIVENS
Notary Public,State Florida MYCOMMISSION NGG02202s
Signature of Nota d: EXPIRES:Docember 16.2020 +
g Notary: Notary Public ormiters i
Commission Number: S�
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