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
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ROOF INSPECTION AFFIDAVIT C� Fp
C .
Re: Permit# SLL 1901 —0/gi cie onryPerms��rn�
I� John F Durham 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 on inspection.
On or about /— 2 5-- ZO l e) , I did personally inspect the roof deck nailing
(Date)
work at: 702 Anita St
(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 rigent).
CCC 1326757
Signature and Seal License #
STATE OF FLORIDA
COLINTYOF �Gt�.rn �tc1C
Sworn to and subscribed before me this day of o c r•� 20_&'
by John F Durham Who is personally known to me r who has produced
i,--�On of I as identification.
Notary Public,State of F ori
Signature of Notary:
Commission Number: t� � �� 1'.� (Seal)
En
JONATHAN CORPORAN
MY COMMISSION#GG 170182
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Bonded EXPIRES:Nota mbar 21,2021
ry Public undue