HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
G 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# ' o Y -
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I >�r iJ 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 an inspection.
On or about
/to I did personally inspect the roof deck nailing
ate)
work at:
(Job site addr s)
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 stri ent).
Signa ure nd Seal License#
STATE OF FLORID
COUNTY OF
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to and subscribed before me i day of 20�•
by i12DL��()ire o is personally kno n to me or who has produced
as identification.
Notary Public,State of Florid
Signature of Notary:
Commission Number: 77 eal)
En
AUDREY B.HUMPHREY
MY COMM' r ISSION#FF 2019
EXPIRES:March 6,
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