HomeMy WebLinkAboutRoof Inspection Affidavit 02{05/2018 08;39 A I I Area Roofing (FAX)7724646600 P.001/001
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 if I 30 M �
�ensed as a Contract */Engineer/Architect
(Please print name&circle license type) 'FS468 Building Inspector
`General,Building.ResiidenNal ar Roofing Contractor or any individual certified under 468 f.5,to make such on lnspectlon.
On or about 0' Q , 1 did personally inspect the roof deck nailing
(Date)
work at. D 61 vd 4
(lob site address)
Bas&upthatamin on I av determined theinstallation was done according to the current
edida E ti ding Code Section 708 or the product approval submitted (whichever
is m
Signature a 5 License#
STATE OF FLORIDA 11
COUNTY OF
Sworn to and subscribed before me this 5 day of 2l)J
by rx-o Call P CQ w a is ersonapv k o n to me terrprodoeed
as Identification.
t
Notary Public,State of F arida
Signature of Notary: `
CemmiSSIon Number: (Seal)
En
r PtyFAITH MASON
MY COMMISSION 0 GG 003499
N EXPIRES;June 20,2020
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