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HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
Building& Code Regulation Division
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2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443 .
ROOF INSPECTION AFFIDAVIT
Re: Permit# �a72
I, NoltqQO licensed as a(n)Co rector /Engineer/Architect
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(Please print name&circle license type) *FS468 Building Inspector
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*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about b cx 19 , 1 did personally inspect the roof deck nailing
(Date)
workat: Jbi &AAkii �A,ne— V4 pzf✓&e�,r) 3gplM
(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
ismost e
CCL 1' z" 1\`10
Signature and al License#
STATE OF FLORIDA ,
COUNTY OF
Sworn to and subscribed before me this_ day of 201(:�
by k5AQVZ WN\-e,4 . Who is personally known tom or who has produced
F-(� (fit/ as identification.
Notary Public,State of Florida
Signature of Notary: ;
Commission Number: © (Seal)
ELL
En - o_State of FEN VAUGHN
P;c Commissio lorida-GGa'y Public
My Comms# 270078
October 22 2p2plres
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