HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building&Cade.Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
72-462 7 -426 72
Fax;772-462-64.43
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ROOF INSPECTION AFFIDAVIT
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Re: Perrnrt#_!
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I r E110-r-, licensed as a(n).Contractor*/Engineer/Architect
(Pleasg name&circle license type) *FS468 Building inspector
`6enera P Building;Residential f or Roofing Can tractor or any individual certified under 468 F.S.to make such crr,'nspection.
On or about S A0�`2�Vq , i.did personally inspect the roof deck nailing
(Date)) r}
work at; L t t, ot1u
(Job site address)
Based upon that examination l have determined the installation was done according to the current.
edition of the Florida Existing Building Code Section 7018 or the product approval submitted (whichever
is most str'gent).
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Signature.and Seal License#
STATE OF FLORIDA
COU 0TYOF Ir
Sworn to and subscribed before me this day of -
,�r f '` 2 2c
by �, �—�. '.�(c the�s getsot�ally tnowrs orwho has produced
as identification.
Notary Public;skate of Florida
Signature of Notary
Commission Number,
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