HomeMy WebLinkAboutRoof Inspection Affidavit i
_ Planning & Development Services
Building& Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# Ey
I, cbunyinvlicensed as a(n) ntractor* ngineer/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 16/�4"Z�9 , I did personally inspect the roof deck nailing
(Date)
I
work at: 408 NoIOng C �or� �il�rCr? `� '
. 349
(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 s t).
z� CCC )33 1651
Signatur d Seal License#
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STATE OF FLORIDAC
COUNTY OF �7 :U_ A Q
Sworn to and subscribed before me this JA day of 20--at-
by
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by 0X_Qn ho is personally known to Me or who has produced
�L L-as identification.
Notary Public,State of FI id
Signature of Notary:
Commission Number: (Seal �```a9"'�. ELLE
4� PU i
20 a. N VAUGHN
State of Florida-Notary ublic
Commission # GG 276079
En '9' A�` MY Commission Expires
October 22, �0�2'
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