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HomeMy WebLinkAboutInspection Docs V/
Planning & Development ServicesFRECEIVE©Building&Code Regulation Divisi• 2300 Virginia Avenue AN 2 2 2020
Fort Pierce, FL 34982 s
772-462-2165 or 772-462-2172 r. Lucie county, Permitting
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# ! 9 JI—491 ? `
GLOIJ
I, 'IAW% , licensed aa(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 1'-'�0 -&2 0 , I did personally inspect the roof deck nailing
(Date)
work at: ?�.�►> 5%
( ob 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
ism st str' ent).
/ Signature and eal License#
STATE OF FLORIDA
COUNTY OF _ G(
Sworn to and subs�c b/e�d"before me this�day of U 20
by � t-�i� ®'7 Lp/ S�/P�c%r.—Who is personally known to me or who has produced
as identification.
Notary Public,State of Flori
Signature of Notary:
Commission Number. cvq (Seal)
En
Notary Public State of Florida
• Shirley Clark
My commission GG
X w expires 0/30/2023 927881