HomeMy WebLinkAboutInspectlion DocRe: Permit #
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
kicItsed as a(n)Contraetor*/Engineer/Architect
(Please print name & circle license type) *F5468 Building Inspector
*General, Building, Resi et? or R frng Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about 1 did personally inspect the roof deck nailine
;ate)
work at:
(Job site address)
0
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 (whichev
is most trigent).
Miliz
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF -q f'- li U`C- I.
Sworn to and subscribed efore me this Z;YV-U
f 2fl /
by �'` ho is perow me or o has produced
as identifica
Notary Public, State of Florid
Signature of Notary: Notary Pubilc S at Fiarlil•
Kelley Castro
Commission Number: €ssion GG 240074
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