HomeMy WebLinkAboutRoof Inspection Affidavit [ 90
Planning& Development Services
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C' Building& Code Regulation Division
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2300 Virginia Avenue
all
a FortPierce, FL 34982
--- - - 772-462-2165 or 772-462-2172
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Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT
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Re: Permit16105-0 ao
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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 make such an inspection.
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On or aboutV�� I did personally inspect the roof deck nailing
Date)
work at: 40 30'
`jr, R)R'T R«Gf.
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(Job site address)
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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). �Q
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Signature and eal License#
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STATE OF FLOR' A
COUNTY OF,
S to and scribed before me thi� day of 20�,
b1 ILIA =i A k- Who is personally kn n to me or who has produced
as idents ication.
Notary Public,Statef FI r' � i^�� i
Signature of Notary: \.N ,
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Commission Number: IGG (Seal)
En �q0•4. Notary Public State of Floride
`� Marybell Martinez
My Commission GG 270875
w M1 Expires 10/24/2022
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