HomeMy WebLinkAboutRoof Inspection Affidavit 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#
ensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building inspector
i
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an Inspection.
On or about 1 l L-Z-7/ I 011 ^ I did personally inspect the roof deck nailing
(Date)
i
work at: AVF
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building de Section 708 or the product approval submitted (whichever
is most strigent).
1326yD�
ignature nd Seal License#
STATE OF FLORIDA
COUNTY OF 1Y�1� 1 W
sworn to and subscribed before me this ' 20M
by&bff DWkU Who is p rsonally kn o me or who has produced
as identifi
Notary Public,State of Flor,da
Signature of Notary'
Commission Number• (Seal)
� D�I1�A A+9 GINN
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En '�k MY OOMMISSION#gG08s308
MMIRM Janu&ry 25,2p21
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