HomeMy WebLinkAboutRoof AffidavitCOUNTY
F L O R I D A
A WE
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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 OUJ�
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I, cpe✓ , licensed as a(n)Contractor*/Enginee r/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 i5 I I I did personally inspect the roof deck nailing
(Date)
work at: Mirm �1)- VCQCV--� 0( - k"-41
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Floris a Existing Building Code Section 708 or the product approval submitted (whichever
is most4ri ent)✓ 1
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License #
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this 2011�,
bC(yYY\Q.>(a'1 CLQ Who is ersonally known to me who has produced
as identifica
Notary Public, StateFlorida
Signature of Notary:
Commission Number:
(Seal)
En'a"'"�
JHOVANNA NEGRON B
•- MY COMMISSION # FF221909
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EXPIRES April 19, 2019
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