HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building& Code Regulation Division
COUNTY2300 Virginia Avenue
I Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT
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Re: :Permit#c?M T 0�a(z, 7
ZAJ "IE? licensed as a( 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 did personally inspect the roof deck nailing
f (Date)
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work at: ��� &J1qt/64 1.4n P— F-(
(Job site address)
Based upon that examination I have determined the installation was done according to the current
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edition of the Florida Existing Building Code Section 708 or the product approval submitted (whichever
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Ce.Q. I33 i/70
Signature and S I License#
STATE OF FLORIDA
4,
COUNTY OF
Sworp,to and subscribed before me this day of 20�
by POJ-49 N � (/�I��/ Who is persona o n t me or who has produced
as identification.
Notary Public,State of Florida
1 Signature of Notary:
Commission Number: Seal)
En
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,, ►'; ;,: AUDREY B.HUMPHREY
.; .: MY COMMISSION#GG 300817
;'•' b:icq° Bonded Tluu EXPIRES:
Noary 23
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