HomeMy WebLinkAboutRoof Affidavit i
Planning& Development-services
Building&Code Regulation Division
0. 2300 Virginia Avenue
0 o 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# -I '0Z 5-
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I, Qlicensed as a(n)Contractor*/Enginee r/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 02 o , I did personally inspect the roof deck nailing
(Date)
work at: 7 703 Loc4t o0 cl dr- )Q1`et�ce/��
(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• .. ig en
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Signature and S al License#
STATE OF FLORIDA
COUNTYOF S- IV6,7 C
Sworn to and subscribed before me this day of AL 1/ 20`11
may`�11F
by 6l/b2b Li/�,),lvl Who i ersonally know to me or who has produced as identification.Notary Public,State of Florida Signature of Notary:Commission Number: (Seal) S U)NEnrno XCD