HomeMy WebLinkAboutRoof Inpsection Affidavit i
Planning& Development Slaces Ob-b24
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
'I
Re: Permit#-51- 'OZ/(o
I, _ACLi lfe -CZ)k�': licensed 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 under468 F.S.to make such an inspection.
On or about��1 Z S1-2-O [% . I did personally inspect the roof deck nailing
(Date)
work at: I 1 �. A-rGor Ave-
(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).
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L �'� 7I 7
Si nature nd Seal License#
STATE OF FLORIDA
COUNTY OF L
Sworn to and subscribed before me this 2-S day of KG 20�
by -zlaocr S 0 I GSho i personally known tom or who has produced
as identification.
i
Notary Public,State of Florida MARIAMWM
Signature of Notary: .*: MYCOMMroSJOH#W281669
Commission Number: ='� �`�(Sea�r�c-PRS'A4.2023
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