HomeMy WebLinkAboutRoof Affidavitt
Re: Permit # DS `M 1
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
I, /J 6 r IOA14-icensed as a(n)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 �;- a- I did personally inspect the roof deck nailing
(Date) � ` P _
work at: 6 �o l ►`"I �" i 1 . ?;
(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 most strigent).
Signature and Seal
License #
STATE OF FLORID„ ,C_
COUNTY OF J
C9
Sworn to and su cribed before me this day of 20t 1,
by Who is personally known to i e or who has pro WW
as identification. �� Notary PublicStaEeofFbeda,
Desiree Flexen
'? My Commission GG 240688
Notary Public, State of F r' w Expireso7/=022
Signature of Notary: 711 A FN A / W,
Commission Number: (Seal)
En
" Notary Public State of Fbft
Desiree FleXen
'� My Commission rG 244583
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Re: Permit # DS `M 1
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
I, /J 6 r IOA14-icensed as a(n)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 �;- a- I did personally inspect the roof deck nailing
(Date) � ` P _
work at: 6 �o l ►`"I �" i 1 . ?;
(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 most strigent).
Signature and Seal
License #
STATE OF FLORID„ ,C_
COUNTY OF J
C9
Sworn to and su cribed before me this day of 20t 1,
by Who is personally known to i e or who has pro WW
as identification. �� Notary PublicStaEeofFbeda,
Desiree Flexen
'? My Commission GG 240688
Notary Public, State of F r' w Expireso7/=022
Signature of Notary: 711 A FN A / W,
Commission Number: (Seal)
En
" Notary Public State of Fbft
Desiree FleXen
'� My Commission rG 244583