HomeMy WebLinkAboutRoof Inspection 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
ROOF INSPECTION AFFIDAVIT
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Re: Permit# I 1a-C q I
' - II licensed as a( C ntractor* 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 on inspection.
On or about Z I did personally inspect the roof deck nailing
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(Date)
'7work at: 6
(lob 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 ost strigent).
Signature.and Seal License#
STATE OF FLORIDA 1
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Sw to and subscribed before me this day of M&
by Who is personally known to me or who has produced
as identification.
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Notary Public,St&err, --
Signature of NotCommission Nu (Seal)
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EXAM December 20,20
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