HomeMy WebLinkAboutPermit #1801-0664 - Brown AffidavitPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-21.65 or 772-462-21.72
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # k (A - e eq
licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) . *FS468 Building Inspector
*General, Building, Residential or Roofing Contrortor of any individual certified under 468F.5, to mnke such an inspection.
On or about �3 t k 1 , I did personally inspect the roof deck nailing
(Date)
work at:( 1
(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 611 or the product approval submitted (whichever is
most -strigent).
Ir
0-n C
Signature and Sea[
License 4
STATE OF FL RI A
COUNTY OF
t
5Mo qd s b cribeyi b fore me this _ day of Gni 2fl�,
b�j�[�_ Who is personally known to me or who has produced
as identification.
Notary Public, State of,E^l„q�r�,da
Signature of Notary: f=6 ,.„.,. ., MEGANJEANETTELAWREKE
Commission Number: {S azk$,-� ; NotaryPublit-5tateofFlorida
* � CammisslonMGGO97477
, com.ExP+resApr 24,2021Mym
En 01/19/2011
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