HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
M Building& Code Regulation Division
2300'Virginia Avenue
Fdrt.Pierce, FIL 34982
772-4462-2165 or 772-462-2172
Fax: 771-462-6443
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ROOF INSPECTION AFFIDAVIT
Re: permit# 190(0'0 10
Koe, licensed as a(n)ton ractor,*/�ngineer/.Architect
(Please print name&circle license type), - i *FS468 Building Inspector
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*General,Building„Residential or Roofing Contractor of any individial cerfified gnder.4681:S,to make such on inspection.
On or about ' " -11g , I did personally inspect the roof deck nailing
(Date) , !
work at:
5$ S�{� ' - fog
—
(Job site addre4s)
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Based upon that examination I have determined the installation was clone according to the-current.
edition of the Florida Existing Building Code 5ectiog 708 or the product approval submitted (whichever
is most strigent). �
Signature and Seal License i#
STATE of FLORIDA
Coulwy of H Q f-ri4n
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sworn to and subscribed before me this da of 2QE
by �'�! 's rt_ Vj i me or who has produced
as identification.
Notary Pu bft,-SatE' t e of Florida �"'
signature of Notary; - � -'�
ComMission Number:
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En KEGAN CRA�`i'ORD
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E}iP3RES tie€ober U 2tt??
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