HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
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Building& Code Regulation Division
2300 Virginia Avenue
c o e Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
=RECEIVEDROOF INSPECTION AFFIDAVIT
Re: Permit#
I, �OAANJ licensed as a(n)Contractor*/Enginee r/Architect
(Please print narnIV4 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 about10' 11- 15 . I did personally inspect the roof deck nailing
(Date)
work at: (—LAQ qiAEoeA P� ri �I GPi,I`� 3`l90Z
(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
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jt 70
Signature an Seal License #
STATE OF FLORIDA
COUNTY OF 5�r • -yc���
Sworn to and subscribed before me this , day of d c b 20_Lt
by LokcL,%ell, !-V . Who is personally known to me or who has produced
as identification.
Notary Public,State of rida
-Ell pEA(►NAMARIEGIV NS
Signature of Notary: ':�t� ,. ,; MY COMMISSION0GG022023
Commission Number: C -a��• :o EXRIEIQecernbar76,2020
••,;;oP �•'� Bonded to ary Public Undswiters,
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