HomeMy WebLinkAboutRoof Inspection Affidavit ;
P
r Planning&"i3evelogm-ent Services.
Building,&Code Regutlation Division
'. 2300 Virginia Avenue
Fort Piercer FC 3.4982,
#-4- 772-462«2165 or-77Z-462r-Z3:72_
-fax:772=461.6443:
r RECEIVE®
ROOF WSPeC 10'' N.aPP[DAUIT MAR 12
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FFiitliijt;
Re Permit.## ' -= '
icensedlas a(n Contractor*/Engineer/Architect �
PP point name&circle ltcen -,_pe} *FS468 Building Inspector
*Ge etgF,Building,,Residendaior-,Roofn coriitactoraronyindividual cecfed,under46ESfa makpsucfan u
uyectiar : ,
On or about f diet pergonaOY inspecttf a roof deck nailing
--�
(oat )
work at, � � !`� 1 a
(lob site address}
Based,upon tliat.exarntnation I.have dete_rm:inedth-e insta'_(lation;Was,done•acc-rding.to the:current
edition.of`'the Efd'da Existing Bufidldg_CodeSealon 708:orthe product.approval submitted(whichever
is most str(Iggnt).
S3 0 `7
Si
g_nature and SeaE Lf>rense
STATE OF PLO
M: ,
COUNTY OF . jf
'"
sw nn,t, u s b % r this d'ay of '' 24
Who,is personally,knoW `to.me orwho has produced
as,identification.
Notary E'u61ic,.Stat F14 e 1 =srxrr�d�, KATH 11jj1 HAVENS
Signature of Nota _. ___ c ;4.MY COMMISSION#GG65t134
EkkiR .-OEQ 04,1021
£ammission.Number: Se 8oitded through lsi Sf teJ tstitance
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