HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
Building& Code Regulation Division
COUNTY 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
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Re: Permit# C(��— �� `Ii
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�`� Lucie
County, permitting
I, �raN�1,�.�e licensed as a(n) ontractor 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 (D `�' `� , I did personally inspect the roof deck naj l
(Date)
work at: J�'1`-��j ,9 P9�Gt�v9 c{ C—F Peet-I r�
(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
i t).
Signature and Seall License#
STATE OF FLORIDA
COUNTY OF A• V-aC." C
Sworn to and subscribed before me this a-C�l day of 2011
Who is personally known to me or who has produced
'rrL fl L as identification.
.tarv�a•. DEANNA MARIE GIUtf`!S ')
Notary Public,State ol ori ?_�' = MYComlolSSION#GG 022023 :y
Signature of Notary: = - EXPIRES:December 96,2020
Commission Number: �7hruNotzry public UnderwriterY
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