HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
_M t Building&Code Regulation Division
COUNTY 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT ;nspector2;
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Re: Permit# I ��- �(�1 licensed as a n ntract En ineer Architect AS*(Please print name&circle license type) F5468 Building
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or.about l 1 , I did personally inspect the roof deck nailing
(Date)
work at: 'S 4Q.
(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 most strigent).
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Signature and Se License#
STATE OF FLORID
COUNTY OF
Sworn to and subscribed before me this day of C:916_20_Lq "
by R-n I-at )4,qj f I/'I C�vA Who is personally known to me or who has produced
as identification.
Notary Public,State of Florida
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Signature of Notary:
Commission Number: U (Seal)
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`mv.SPU•. AUDREY B,HUMPHREY
MY COMMISSION#FF 174772
`*I EXPIRES:March 6,2019
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Bonded Thru Notary Public Underwriters