HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building& Code Regulation Division
2300 Virginia Avenue
1 Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443 r;
ROOF INSPECTION AFFIDAVIT
Re: Permit#l qo 3- 3,� 6 3
I, NinK &S0,,,44 , licensed as a Contractor*/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 an inspection.
On or about 3&6 , 1 did personally inspect the roof deck nailing
(Date)
work at: 3'V q 60 8ei4e,),0- M , Far p;eree PL.
(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
is rr ost strigent).
r
CLC 133 1t
Signature and Seal License#
STATE OF FLORI ,
COUNTY OF
SwoRi to ano subscri d before me t i day of "/ 02,0-14-2 0A'
y s Wally known to me or who has produc -0
as identification. In M
ary Public,State of Flori
Signature of Notary:
Commission Number.. Iz (Seal)
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En ® ® O�
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�N' AUDREY 8.HUMPHREY
•i ,,= MY COMMISSION#(i0 300817
EXPIRES:March S.2023 n M
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