HomeMy WebLinkAboutRoof Inspection Affidavit ^ _z_ Planning& Development Services
' Building& Code Regulation Division
® 2300 Virginia Avenue
o Fort Pierce, FL 34982
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-_ - -- -- — 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
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Re: Permit# 574 G/'J�G�9� OSY`
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,/3zlz : censed as a( Contract /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.
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On or about did personally inspect the roof deck nailine
(Date)
work at:
(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).
Signatur d Seal License#
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_ STATE OF FLORIDA
COUNTY0F�S�
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Sw to and subscribed bgfore me this day of C- 20 L`i
by -1 " . Who is personally known to me or who has produced
�L QA.# as identification.
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Notary Public,St or
Signature of No(ary:
Commission Num (Seal)
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�,�•.`�jL1P"' LASHN-imA iNGRAWRAHMINid
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?' MY CC�9`;ft?SEEOR! GG 27�060
: io: EX!' S:December20,2022
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Bcn&.d Thru Notary Public Underv�riters