HomeMy WebLinkAboutroof inspection Planning& Development Services
Building& Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
licensed as a(n)Contractor*/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 �� l , I did personally inspect the roof deck nailing
(Date)
work at: ,z�Tg
(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 s igent).
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Signature and Sea License#
STATE OF FLORIIDDAI
CO U NTY OF �/ , IL�C�t e--
Sworn.o and ubscribed bef9re a this today of �v CPL. 20�,
by WQVCr M &66kkk Who is personally known to me.or who has produced
as identification.
Notary Public,State of Flori
Signature of Notary: cc��een�
Commission Number: SI IP S. M=
TI )
COMMISSION 0EnEXPIRES:� w�.ZOZZ '
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