HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building&Code Regulation Division
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x � 2300 Virginia Avenue
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Fort Pierce FL 34982
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772-462-2165 oP 772-462-2172
Fax:772-462-6443 RECEIVED
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ROOF INSPECTION AFFIDAVIT JUN 1 704
Permitting Deparcro•:; j
St. Lucie C--
Re: Permit# s
�;,1Vensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certoed under 468 F.S.to make such an inspection.
On or about ��r` , I did personally inspect the roof deck nailing
(Date) ^� �,
work at: t) �J N,(A LALL 1( C� b --�L --YI �' 'o -1A
(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 strigent).
0
Signature and Seal License#
STATE OF FLOMCOUNTY OFq
Sto and sub crib d before me this day offL 'rusl.i 20—L f
by � >:4
('_:Lz;�L�dC1 . Who isnally known to me or who has produced
as identification.
Notary Public,State ofFoida
Signature of Notaryrna-"j� ii!!1111
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111!
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Notely
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ubtic Stat`Commission Number: Amanda P San,.%�fsoo
EM Commission i�
ire'04125!2022
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