HomeMy WebLinkAboutRoof Affidavit 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
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ROOF INSPECTION AFFIDAVIT
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Re: Permit# ` �6• C>s7f
I, ( )A-C licensed as 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 3 O , I did personally inspect the roof deck nailing
(Date) n/
1
work at: _��� /l/G C4a� 04L /� -4— SL
(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 st strigent).
Signature and Seal License#
STATE OF FLORIDA
` yrs
COUNTY OF S� I ucv t_ ='s '=
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Sworn to and subscribed before me this ZS day of 64C,* 20�
by C-0k&hM t 3Z&,q Who is personally known to me or who has produced1'onm^`O
�L as identification. Qr) m
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Notary Public,State of Florida o
Signature of Notary: c) mQ O
Commission Number: (Seal) ,Co C)o2C
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