HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
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Building& Code Regulation Division
* 2300 Virginia Avenue
UNTY Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT .
Re: Permit#oC cot -C)(�'4y
licensed as a(n)l:ontractor /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 - 3o - 'P C) I did personally inspect the roof deck nailing
(Date)
work at: S9 aS- 7-eaje1{„ s u-7,A t)
(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
is ost ig
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Signature and Seal License#
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this day of J20�kV
by d0V Z 4q & (A) 1 Ute`!. Who is personally known to me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
En
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tr ". MY COMMISSION 0 GG 300817
EXPIRES:March 6,2023
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