HomeMy WebLinkAboutRoof Affidavit Planning& Development Services
Building& Code Regulation Division
COUNTY 2300 Virginia Avenue
Fort Pierce, FL 34982
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772-462-2165 or 772-462-2172
Waw:.Jeda4 6uijjiwjad Fax: 772-462-6443
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GRM.g7ab ROOF INSPECTION AFFIDAVIT
Re: Permit#)So-)-o?03
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I, licensed as a(n ontracto /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 9 Jc>1 I did personally inspect the roof deck nailing
(date)"
work at: _ (I OS 1 M f
(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 .
C. -I�.Zn to a
Signature and Seal License#
STATE OF FLORI k
COUNTY OF
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S orn to a d subs `b_ed, before me this c2- day of L 20/
b � )u2 ���Q t� ,� Who is personally known o me or who has produced
as identification.
Notary Public,State of Flor' 2ot,RYpU,��c MARKKENNY
Signature of Notary: * * Commission#GG 144499
Commission Number: (Seal) Expires September 19,2021
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