HomeMy WebLinkAboutRoof Inspection Affidavit 08-20-19;02: 13PM;Fax ;254-662-0952 # 1/ 1
Planning& Development Services
F" •i,-err' ' -- Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
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ROOF INSPECTION AFFIDAVIT /�r;' 20101p
cy��oPpa� '
Re: Permit#_1dt0� "
licensed as a(n)Contractor*/Engineer/Architect
(Please pria name&circle license type) *FS468 Building Inspector
,
*General,eullding,Residential or Roofing Contractor or any Individual cwtlfled under 4¢8 F.S.to make such an Inspection.
On or about �(�.Q� ZO dC'i , i did personally Inspect the roof deck nailing
(Date)
work at: `rl � � "11C'► (Z�n QC. � � I
— I
(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
is most strigent). ,I
Signature and Sea[ License#
STATE OF FLOW9 N-I'.e 1a5
COUNTY OF
Sworn to and subscribed before me this day of_ 20pj
by �—at-r ja PC SCF. Who is persona ly known to me or who has produced
as identification.
Notary Public,State of FI Ida
Signature of Notary: tZIO-)— Yg
r �Commission Number: iZ II
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