HomeMy WebLinkAboutRoof Inspection Affidavit R J
Planning& Development Services
z 0, 21
_� _ Building&Code Regulation Division
2300 Virginia Avenue
Cou Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# ��' LC. (C1dt0 - 02 0,;;—
I,Rou
5I,Rou C--11 t t*V3 licensed as a )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 8 , I did personally inspect the roof deck nailing
(Date)
work at: PS
J (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 most strigent).
Sign ture and Seal License#
STATE OF FLORIDA
COUNTY OF 1^Y�tY" l
Sworn to and subscribed before me this q V 1 day of ' LA 20101,
by-ML Ir- ,�C _ 1 Who is rsonally known t h4 or who has produced
as identific n.
Notary Public,State oto id
Signature of Notary: 0 WWI Ly%L'e_
Commission Number: (Seal)
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