HomeMy WebLinkAboutRoof Affidavit Planning & Development Services
Building& Code Regulation Division
2300 Virginia Avenue
COUNTY
_ Fort Pierce, FL 34982
772-462-2165 or 772-462-2172 �qN f'
'01-N'.Fax: 772-462-6443 OZ -,
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ROOF INSPECTION AFFIDAVIT
Re: Permit# )I -
I, o wl \r--� licensed as a(n) ontrac r*/Engineer/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 ' 2 I`i , I did personally inspect the roof deck nailing
(Date)
workat:'A- \5
(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
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Signature an eal License#
STATE OF FLORID
COUNTY OF
Sworn to and subscribed before me this e-- day of 20)�
by t2U VaM, > �4j A-:±� Who is personally known to me or who has produced
I as identification.
t"Nor
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Notary Public,State of Florida
Signature of Notary:
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Commission Number: (Seal)
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