HomeMy WebLinkAboutRoof Inspection Affidavit i
Planning& Development Services
U1 �- , Building&Code Regulation Division
2300 Virginia Avenue
® o Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# lqlc)- -I(l o G (10G°��'�oE
I licensed as a )Contractor*/ ngineer/Architect
(Please print name&circle license ty *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 f0/I� , 1 did personally inspect the roof deck nailing
(Date)
A �
work at: ® /V a GG r()\ A
(Job site address)
BAupon a 'nation I have determined the installation was done according to the current
er' a x' Building Code Section 708 or the product approval submitted (whichever
i
LignzM3�
Ignature and Seal License#
STATE OF FLORIDA C
COUNTY OF
n �I
Sworn to and subscribed before me this day of 20�,�
by Ml � Who is personally known to me or who has produced
R -J51 as identification.
Notary Public,State of Florida
\\pYp�,,, ELLE NVAIJGH
Signature of Notary: ?io`� °<�^State of Florida-Notary Public
Commission Number: �-�-(r �' �� (Seal) a• *: Commissioh l� GG 270079
', �•� My Comm)sslon Explre5 I
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