HomeMy WebLinkAboutroof affidavit Planning & Development Services
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_ 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
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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 Z b I did personally inspect the roof deck nailing
(Date)
work at:
(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 s rigent
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I a ure and Seal License #
STATE OF FLORI
COUNTY OF
Swor and subscribed before Ma this day of 201
by Who is personally known to me or who has produced
IL n \ as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
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Commea on#GG175422
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