HomeMy WebLinkAboutALVERY,A AFFPlanning & 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 #
licensed as a(Contracto */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 , I did personally inspect the roof deck nailing
(Date)
work at: L19 O ')., �-k +r AA jL C a.-
--(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).
Signature and Seal
STATE OF FLOR4DA,
COUNTY OF
License #
SwRrn to and subscribe before me this _ day of �t�� �- 20 a '
byl lalV 1� 1.��l.�Nho is personally known to me or who has produced
as identification.
��r rvs MARK KEHW
Notary Public, State of Florida ,p : • .`�' C4MMkd n#GG144499
Signature of Notary:��` EX0,5SePfa *ffJ9,2021
Commission Number: (Seal) 1;0F a nm,auy cNowr os
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