HomeMy WebLinkAboutRoof Affidavit Planning & Development Services
- _ Building& Code Regulation Division R
2300 Virginia Avenue �clh'Fo
COUNTY Selo Fort Pierce, FL 34982 p p
772-462-2165 or 772-462-2172l��ne 4I�19
Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT
Re: Permit# G'1�' & '7c-Y
I, licensed as a(n ontracto /Engineer/Architect
b
(Please print na &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 v ��n`— 1 U , I did personally inspect the roof deck nailing
(Date)
work at: SP6 Tl4!2 ,e(y Ed Pleat? Fl
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition a Florida Existing Building Code Section 708 or the product approval submitted (whichever
is ost s i
1331170
Signature and License#
STATE OF FLORIDA
COUNTY OF -N— LIZ
Sworn o and subscribed before me this day of 4^ 20_4_�/
bywi!) �[/l�� Who is personally known o me or who has produced
7( as identification.
Notary Public,State of Flpr'da
Signature of Notary:
Commission Number: (Seal)
En
HEATH
¢h_State of l ER BURFQR
=n Co oride-Not
ary 18
Mmmission *GG 8 Public
Y Commission 183217
Februar Expires
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