HomeMy WebLinkAboutRoof Inspection Affidavit il
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101111111111.111.11111.1111 Planning& Development Services
- i , ti. Building&Code Regulation Division
COUNTY 2300 Virginia Avenue
F L O R 11 D A Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
IMMINEMMIIIIIIIIIIP
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# f9,..s"d (g?
1,,42-1 ,07/7717! lv ?licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,6e eral,8uitding,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection. Ij
On or about P-4`9( .-2-/7-01 q , I did personally inspect the roof deck nailing
(Date)
work at: -C-011 1 a Yt2 Fi Q 1 n4e-z`r�L
(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 mo strigent). / ,
,,/(11,7b C- C- / .3 2. g 7 3 . .
Signature .nd Seal License#
STATE OF FLORIDA
COUNTY OF Sc} we
' Swornto and subscribed before me this day of 20a,
by c..1ba c carntorinZ, . Who is personally known to a or who has produced
FL-Di, as identification.
Notary Public,State of Florida
Signature of Notary: ' FAT i s
Commission Number: i j r`a?O� !
En IF oiPPvvu�,,� ELLEN VAUGHN
_=� �YState of Florida-Notary Public
=__*„,/eft!' *E Commission # GG 270079
` i i vest" My Commission Expires
?A October'", to` Ob22,2022
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