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HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services i= ff Building& Code Regulation Division © 2300 Virginia Avenue o Fort Pierce, FL 34982 - - 772-462-2165 or 772-462-2172 I. Fax: 772-462-6443 i ROOF INSPECTION AFFIDAVIT 11!r'1� �/ ,o O(J, CNf L Re: Permit# IV -0 I v� s�`; 2� �o � �9 G�,• O �0 A PA ri d i I,R&A0 6(AL licensed as a(n) ntract /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 10)o?9 I did personally inspect the roof deck nailing (Date) work at: C� 0 ra A M onLf (Job site address) Based upon th xamination I have determined the installation was done according to the current edition of t o ' a i ' g ilding Code Section 708 or the product approval submitted (whichever is mo s I �9oa`? 5'79 3ooS--- Signature and Seal License# STATE OF FLORIDA COUNTY OF_ — L\A Sworn to and subscribed before me this day of n l 20 )Of by �1���1 C�LQl1-��. Who is personally known tome or who has produced j_-6Z_ as identification. Notary Public,State of Florid Signature of Notary: Commission Number: 6-6 7DYrl (Seal) ELLEN VAUGHN `�'pv PV��y� Public ' . State of Florida-,Notary En :* Commission #GG 270079 �os� My commission Expires October 22, 2022 1