HomeMy WebLinkAboutRoof Inspection Affidavit �u y
Planning& Development Services
Iz CI Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982-
772-462-2165
4982772-462-2165 or 772-462-2172
Fax: 772-462-6443
=RECEIVEDROOF INSPECTION AFFIDAVITST
Re: Permit# Ffec—
I, P,o\-b 0Q licensed 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 'Wo — �5. , I did personally inspect the roof deck nailing
(Date)
work at: �OS FAI,AG(u' UF 64
(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 ss '
LCIL 133 P '70
Signature and SAO License#
STATE OF FLZRIDA
COUNTYOF
Sworn to and subscribed before me this ad day of M 20_n
by P%614rA to%NR" Who is personally known to a or who has produced
'FL fl tr as identification.
Notary Public,St of Florida �P
DEANNAMARIE,.GIVENS
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Signature of Notary, �_' __ MY COMMISSION#Uu022t?23
Commission Number: gG It,:DecemyorS0,202o
Bonded Thru Notary public UnBenwiier.-
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