HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
Building& Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
�s772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 05--S-7
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I, licensed as a(n)Contractor*/Engineer/Architect
(Please print na a A 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- 7�„•—tj , I did personally inspect the roof deck nailing
(Date)
work at:
(Job site address)
Based upon that exami _ ion I have determined the installation was done according to the current
edition of the Flo ' a E d ting Building Code Section 708 or the product approval submitted (whichever
is most s ).
Signature and Seal License#
STATE OF FLORID .
COUNTY OFA��\jw
Sworn to and subscr' before m this day of Iry• 20 •
by LV e� , n N is personal) _ nown t me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary: A
Commission Number: 7 (Seal)
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O��l P`BUC.Y: 2d�tJNO
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