HomeMy WebLinkAboutRoof Inspection Affidavit f
Planning& Development Services
Building&Code Regulation Division
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E 2300 Virginia Avenuecou TY
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Fort Pierce, FL 34982 j
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT I'
Re: Permit#
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licensed as a(ni Contractor*/Engineer/Architect
(Please print name license type) *FS468 Building Inspector
i *General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such and inspection.
r On or about 3--1> [ , 1 did personally inspect the roof deck nailing
(Date)
work at: `7402- sA- Car2cc�5 t7/L �,v�e
(Job site address)
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Based upon that examination I have determined the installation was done according to the current
edition of the F i a in Building Code Section 708 or the product approval submitted (whichever
is most str'- t).
j Signature and Seal License#
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STATE OF DA.
COUNTY OF f
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Sworn to and subscribed before me this t day of D� 20
bySAn,,.-k, Q-QX& Who is personally known to me or who has produce'
VL QAZ;O- as identification.
Notary Public,State of rid
Signature of Notary: i
Commission Numbe . (Seal) I
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En
LASiIAHNA INGRAM I
Ell
tary P�UI1c Stateof Florida
Comm.;Expires Dec 20.2018Commission#FI=177249ded through Natioga!Notary Assn.
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