HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
- _ = Building& Code Regulation Division
2300 Virginia Avenue
�, _ Fort Pierce, FL 34982
_:.- r _ 772-462-2165 or 772-462-2172
Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT per177itti 8 1B
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Re: Permit# 1��
I,Du41c� 9ce• , licensed as a(n)Contractor*/Engineer/Architect
(Plea'?e 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 8"'I— 19 , I did personally inspect the roof deck nailing
(Date) //�� tt
work at: 3'1i�3 4y nUe
(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 CC t 2(;051
Signature a d Seal License#
STATE OF FLORIDA
COUNTY OF I"CIr V� r
Sworn to and subscribed before me this day of G V S-r 20 S
by bmnjc T Who is personally knownYo me or who has produced
as identificatio .
Notary Public,State rida
Signature of Notary
Commission Number: �M^nM+w
REBECCA RESTIFO
En My COMMISSION NG091163
9# EXPIRES May 17,2021