HomeMy WebLinkAboutRoof Affidavid 3876 Devine Rd((��&"7-
Re: Permit #10&"7- 1U
Planning & 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
I,I.UtLbe"t,censed 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 6 Q6- aV Ing , I did personally inspect the roof deck nailing
( ate)
work at:
;Ro,-D) [I/kcL"
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).
Signat and Seal
STATE OF FLORIDA
COUNTY OF _. �R/Cy
License #
Sworn to and subscribed before me this - I Ll i k day of �(/l� 20y'�'
by � tl, a,-. b,( ki . Who is personally known to me or who has produced
1k71 - nL as identification.
Notary Public, State of.410
1
Signature of Notary:
Commission Number: (Seal)
En
=otPara��cy MORGAN COUCH
Notary Public - State of Florida
` Commission # FF 936627
FIO,` My Comm. Expires Nov 23, 2019
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((��&"7-
Re: Permit #10&"7- 1U
Planning & 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
I,I.UtLbe"t,censed 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 6 Q6- aV Ing , I did personally inspect the roof deck nailing
( ate)
work at:
;Ro,-D) [I/kcL"
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).
Signat and Seal
STATE OF FLORIDA
COUNTY OF _. �R/Cy
License #
Sworn to and subscribed before me this - I Ll i k day of �(/l� 20y'�'
by � tl, a,-. b,( ki . Who is personally known to me or who has produced
1k71 - nL as identification.
Notary Public, State of.410
1
Signature of Notary:
Commission Number: (Seal)
En
=otPara��cy MORGAN COUCH
Notary Public - State of Florida
` Commission # FF 936627
FIO,` My Comm. Expires Nov 23, 2019