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 s'. ,' 09>
SGC/P�pd
aG'� P�f
Re: Permit#
I, i licensed as a( Contractor* ngineer/Architect
(Please print name& ircle 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 /[-- q - (Z I did personally inspect the roof deck nailing
(Date)
work at: ,Y 12' Ott, iii Pcc1,r -
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition ofthe r d ing Building Code Section 708 or the product approval submitted (whichever
is most stri n .
Signature and Seal License#
I
tiSTATE OF FLORIDAA �_COUNTYOF �yC/ flSworn to and subscribed before me this day of 1J O20_L ,_by 5 L. Gdc 'C�D�!(S71 Who is personally known to me or who has produced M—as identification. o==.mNotary Public,State of Flori a aZCOSignature of Notary: '{?�'� ItJ� CCommission Number: (Seal) <-nc�EnQ�
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