HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue �'{
Fort Pierce, FL 34982
772-462-2165 or 772-46,2-2172
Fax: 772462-6443
ROOF INSPECTION AFFIDAVIT
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Re: Permit#
I, - ;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 and inspection.
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On or about ! 1 //S , I did personally inspect the roof deck nailing'
(Date)
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work at: '/y3 ' 4/5/8-
(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).
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Signature and Seal License#
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STATE OF FLORIDA I
COUNTY OF
Sworn o and subscribed before me this /X/Aday of 20
by D d W&A j e r Who is personally known to me o who has'produced
as identification.
Notary Public,State of Flo ri a
Signature of Notary: I �H2Lgl8R,
Commission Number: (Seal , r 'a N
N, au�`' #My C,OWISSION t FF 211362
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EXPRES.July 18,2019
En i -"M.46
.46 LbndedThruBudget NotarySonlces
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