HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
C
Building & Code Regulation Division
* UNTY
2300 Virginia Avenue
D Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
FRECEIVED
ROOF INSPECTION AFFIDAVIT
N .1 9 29?9
County, Permitting
Re: Permit# MIN,— O'AgG
I,'6Wite licensed as a(n ntracto */Engineer/Architect
(Please print nam &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 6-1-7-6 , I did personally inspect the roof deck nailing
�-7 (Date)
work at: qF40M.4 1/4r't2 )C* f;-ere.2- El 3` Q.2
(lob 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
i=)
ee� X33l)-70
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF - -�c�,�
Sworn to and subscribed before me this day of'\3 y@ 201q
by Who is personally known to me or who has produced
i
t- as identification.
y" EANNAh9ARIE GNrN5
Notary Public,State lorida ;otir?Ygga ;= 072c'3 i
a: MY COMId15SIOtJ GG 2020 4
Signature of Notary: % -Y *: EXpIRES.Decembzcl6'
Commission Number:(-3�ea--41a3 :.. Notarypubllcun .......
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