HomeMy WebLinkAboutRoof Inspection Affidavit � I
t 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# 11'0289
I, G Cot , licensed as a(n)Contractor*/Engineer/Architect
(Please rint 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 15' 2020 , I did personally inspect the roof deck nailing
(Date) ;
work at: 3y03 AVCnye It VOK k i Ac-{
(Job site address)
Based upon that examination 1 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).
l� CCc132(5jq
Signature and Seal License#
i
STATE OF FLORIDA
COUATY OF
Sworn to and subscribed before me this day of 00**J0100L`( 20_2
by >w4�A-s �. Who is petsonally known to me or who has produced
as identification.
Notary Public,Stated i
signature of Notary:
Commission Number: (Seal)
En
KEGAN CRAWFORD
MY COMMISSION#GG265055
2022
OFFeJ EXPIRES.October 03.
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