HomeMy WebLinkAboutRoof Inspection Affidavit _ II
___ __�_____ Planning& Development Services
"`M Building& Code Regulation Division
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couNTY
® Fort Pierce, FL 34982
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Fax: 772-462-6443 per Orr2� !
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ROOF INSPECTION AFFIDAVIT leco10, 1111 2
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Re: Permit# I C ' OSI 0 9
I,l"'►C ��>� , licensed as a( ) =ontractor) / rchitect/EngineerA
(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 1c) z It I did personally inspect the roof deck nailing
(Date)
work at:)�6CQ S-e o era
(Job site address)
Based upon that ami ion I have determined the installation was done according to the current
edition of the or' xis i Code Section 708 or the product approval submitted (whichever
is mo
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Signature and Seal License#
STATE OF FLORID
COUNTY OF
Sworn to and subscribed before me this day of Co ,)-20_['�
by \C)nCx4 Q &l>-e . Who is personally known to me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: Ci b17-719 (Seal)
ELLEN VAUGHN
En o`o`""YPbA�= State of Fiorida-Notary Public
Commission # GG 270079
�? P My Commission E'xpiros
natober 22. 2022
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