HomeMy WebLinkAboutRoof Affidavit Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
COUNTY
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT RECEIVED
APR 10 11119
G ,erm'tting oe
Re: Permit# l / Z'DD St'Ducie County
I, \ U licensed as a( Contracto /Engineer/Architect
(Please print name& ircle license ty I *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 . I did personally inspect the roof deck nailing
Z(Date)
work at: J 5y� � n C Q`� SC ala-��tC t— -:7�
(job site address)
Based upon that examination I have determined the installation was done according to the current
edition of thelorida Existing Building Code Section 708 or the product approval submitted (whichever
is most stri ent . Z
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF
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Sworn to nd subscribed before me this day of �_20 p>0 aN
by f1�/�' /� ZC/.)1� Who is personally know to me or who has produced ,
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as identification. mz 0 a`f
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Notary Public,State of Florida w c j'
Signature of Notary:_ =�
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Commission Number: (Seal) w 9 0
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