HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
- - Building&Code Regulation Division
scale 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
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ROOF-INSPECTION AFFIDAVIT
Re: Permit# �-t Q
10-0321
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I, licensed as a(n)Contractor*/Engineer/Architect
(Plea print name&circle license type) *FS468 Building Inspector
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*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about 11-05-Z611 , I did personally inspect the roof deck nailing
(Date) ,
work at: Sty C.Ql"Oul by
(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 strigent).
Signature and Seal License#
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ST4TE OF FLORIDA
COU-NITYOF
�7 ` �y ,� c�,,
Sworn to and subscribed before me this day of MOV " fe-f2- 20�
by Pte, Fr- (DIY. Who Is pefsonally known to me or who has produced
as identification.
Notary Public,State of Flori
Signature of Notary:
Commission Number: (Seal)
En �"`°"'Fe KEGAN CRAWFORD
MY COMMISSION k GG265055.
EXPIRES:October 03.2022'
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