HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building&-Code Regulation Division
2300 Virginia Avenue
OUNTY Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: erml ff/q—
LAMI�al~censed as a(n ract r*/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 I did personally inspect the roof deck nailing_- -,
work at: �1a y qV e
(lob ress
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
i m st strigent).
-
Signature and Seal ' License#
STATE OF FLORIDA . �=
COUNTY OFA
Sworn to and sub crib bef a me this day of 20�,Gf
.ff ,
byM i` \- Who is personally known eo me or who iced •,x
as identification. AAV
*• MYCOd BELL,
-JR. t
Notary Public State of F rids- :�: ;oma; MMISSION#:GG'180343
Signature of.Notary: ;o�•r Th IRES•May 28,2p�
BMWru Notaryibfic U�de►writeis
Commission Number Yjd 7 (Seal)
En
C 7
"VED
E D
�13 2019
Departmentounty, FL
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