HomeMy WebLinkAboutRoof Inspection Affidavit i
Planning & Development Services
Building& Code Regulation Division
® 2300 Virginia Avenue
o , Fort Pierce, FL 34982
- - --- -- -- - - 772-462-2165 or 772-462-2172
Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT pS�%14;,,9 ��r019
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Re: Permit# i
I, 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 I) ,I�1) G+ I did personally inspect the roof deck nailing
(Date) II
work at: U,("4!
(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
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Signature a License#
STATE OF FLORI�
COUNTY OF 11
Sworn to d subscribed before me this day of 20J�
by L ho is personally known to me or who has produced
Pa L— as identification.
Notary Public,State of Florid t f r
Signature of Notary: V ,��aYP ELLEN VAUGHN,
.1P Ue i
Commission Number: r `�—u7�� (Sea _ -State of Florida-Notary Public
_* °c Commission #GG 270079
My Commission Expires
En °����` October 22, 2022
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