HomeMy WebLinkAboutRoof Inspection Affidavit t
Planning& Development Services j
Building& Code Regulation Division
ICOUNTYy 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172 SGC Fo
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Fax: 772-462-6443 st� 9
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ROOF INSPECTION AFFIDAVIT
Re: Permit#
I,,02-007f-rV� icensed 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.
On or about r9V,'5_ I did personally inspect the roof deck nailing=
(Date)
work at: 3 ZOO f V 6 OSI"/L L' �' /C1JLGCr�G
(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 mo strigent).
CLC i Z 0737
Signature and Seal License#
STATE OF FLORIDA
COUNTY OFLCJLCGt'��
Sworn to and subscribed before me this 2—t- day of M 20 ,
by � ' l>n��✓. Who is personally known t e or who has produced
as identification.
Notary Public,State of Flo ida r
Signature of Notary: W
Commission Number: (Se
ELLEN VAUGHN
1PRY PUB/i
En ,r° b;state of Florida-Notary Public
!y�•c Commission #GG 270079
My Commission Expires
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"�'1�'�`� October 22, 2022 .