HomeMy WebLinkAboutRoof Inspection Affidavit i
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Planning& Development Services
Building& Code Regulation Division
ICOUNTY 2300 Virginia Avenue
0 D A 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 dcl)Ok
I,(� \�'zz)( �-Qlicensed as a(n) ontractor /Engineer/Architect
(Please P circle license print name 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 C9 1�" , I did personally inspect the roof deck nailing
(Date)
work at: 5 �� T�r�v 2�✓S 1,� , �-1 i�1`e✓C. —;l
.(Job si 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
Signature and Seal License#
STATE OF FLO IDA
COUNTY OF
Sworn. o and subscribed bef re me this`. '� day of �1—SCJ-' 20
by ��CJ\11� Who is personally known to me or who has produced
as identification.
ELLEN VAU,GHN
PV P�4 p
Notary Public,State of Florida °A State of Florida-Notary Pu lic
Signature of Notary: Commission #GG 27009
Commission Number: Zo (Seal) ;•` My Commission Expires
October 22, 2022 .
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'_State of F oNda'4UGM
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all *- Notar
MmMission#GG 2�o ublic
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mmission Expire]
October 22, 2022
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