HomeMy WebLinkAboutRoof Affidavit Planning & Development Services
Building & Code Regulation Division
. 2300 Virginia Avenue
UNTY 'Ad. Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 1906 0230
I, ,/. ✓ le licensed as a(n)Contractor*/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 G '- 6--1 / 1 did personally inspect the roof deck nailing
(Date)
work at: S'/3C' A%ex• 6,4'.:L It�,% 1=-f �;"icu,
(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 st strigent).
V'o /'J'�"
CCC /3-� //70
Signature a License #
STATE OF FLORIDA
COUNTY OF ,�l11if
Sworn to and subscribed before me this� 'u day of 20A
by 4 Who is perso known to me or who has produced
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Notary Public,State of Florid Q0 y TD
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Commission Number: (Seal) ow ,�m
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