HomeMy WebLinkAboutRoof affidavit Planning & Development Services
- = _ Building & Code Regulation Division
2300 Virginia Avenue
COUNTY Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# cS LC lgO1a - O 1,-6b
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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 oc U3\a,Dl'5 , I did personally inspect the roof deck nailing
(Date)
work at: Ifs 0 1ri.S c�css s ^Dr��� r�nf�J 17C�•e� . F�. 3 9 5
(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).
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Signature and Seal License#
STATE OF FLORIDA
COUNTY OF �,.t,_
Sworn to and subscribed before me this day of 'TyNQAiZj, _ 2&Z
by Who is personally known to me or who has produced
Qom' as identification.
Notary Public,Sta or
Signature of Nota
Commission Numb . (Seal)
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