HomeMy WebLinkAboutAffidavitI07/15/2019 08:52 A I I Area Roofing (FAX)7724646600 P.001/001
Planning & Development Services
=fY^ . --'M Building&Code Regulation Division
® lill ELT Z300 Virginia Avenue
Fort Pierce, FL 34982
772-462-27.65 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#_1"I06 060
licensed as a(n)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 rnoke Such an inspection.
On or about 17-15—l`7of , I did personally inspect the roof deck nailing
(Date) /�
work at: �Lc/� �r� !"�Pa &Ud F�
(Job site address)
Based up that xamin on I av determined the installation was done according to the current
editio the F orlda E tl ding Code Section 708 or the product approval submitted (whichever
is m strig t).
Signature a S License#
STATE OF FLORIDA
COUNTY OF /
Sworn to and subscribed before me this 15 day of ! 20L
' PCby 4r\A j&Q r v Z Yybj13,�e[st?nally known to me ePe-k s-"edtreed
as identification
Notary Public,State of Florida
Signature of Notary: _
Commission Number: (Seal)
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* MY COMMISSION 0 GG 009956
EXPIRES:Jima 20,2020
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