HomeMy WebLinkAboutRoof Inspection Affidavit i f
Planning& Development Services
F+s rF F aav'S f .
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172 i
Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT
Re: Permit;# S LL 19(1- Q W&I
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1, -60: -jicensed as a(n) ntractor /Engineer/Architect
(Please;prnt name&circle license type) *FS468 Building Inspector
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*General,ByUding;.'Resident al.or Roofing Contractor or any individual certified under 468 F.S.to make such an Inspection.
On or about . g ,,I did personally inspect the roof deck nailing
(Date)
c
work at ('y""7
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Flori - isting Building Code Section 708 or the product approval submitted (whichever
is most n ent). i
13311+4
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a e and Seal License#
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STATE OF FLORIDA
COUNTY OF
ttrr i
S to nd4subscribed before me this "r da 2 20�
by SIJ~T ►'IAC - . Who i sonally kno i to me or who has produced
as identific tion.
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Notary Public;State of Florida j
Signature of Notary:
Commission Number: (Seal) i
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i Ike Neu A MICR O
r;MY COMMISSION it 745
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EXPIRES APM 8, 1
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