HomeMy WebLinkAboutRoof Affidavit Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
�' COUNTY
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Fort Pierce, FL 34982 F 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
C
Re: Permit# 190q —CA) IA
�ed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential<Roofing Contractor r any Individual certified under 468 F.S.to make such an inspection.
Onorabout I did personally inspect the roof deck nailing
(Date)
work at:&Ld1di0AA.') y pr ple—'X-ee R— 9�}5"l
(Job site address)
Based upon that examinO ve aer ned the installation was done according to the current
Based
edition of the Flori xisting B dingC e Section 708 or the product approval submitted (whichever
is most stri
S' e and Seal License#
_§� u r
STATE OF FCO A
COUNTY 01
SwQato ynd suib,)cribed before me this day of 2041
by-N&AA�fi ",4066e,- . who is personally known to me or who has produced
I- - 1�
as identification.
Notary Public,5 ri
Signature of N ary; ld�
i.
Commission NOuer. lq(9 20t 7 (Seal)
En
LISA MARIE MON EONE
Florida of Florida
Notary Public-State 09
commission t GG 190497
19
,aFmy comm.Expires 27,202
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I Notary
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Bonded through National Notary Assn.