HomeMy WebLinkAboutRoof inspection affidavit 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
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Re: Permit#d col owl
I, L)d-eq licensed as a(n)Contractor*/Engineer/Architect
(Please print name 9 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.
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On or about - n , I did personally inspect the roof deck nailing
(Date)
work at: EALq— n �j
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(Job sit ddress)
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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
i ost st '
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CCC �33 /� ZC�
Signature and Seal License#
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STATE OF FLORI A
COUNTY OFl� l�Q
Sworn to and subscribed before me this day of 202�D
byWho is personally known to me or who has produced
as identification.
Notary Public,State of Flo'
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Signature of Notary: ;. mL
Commission Number: '����. (Seal) ®:-=Stat "�44
of LO co of N.
En My C° ioq#' aryN
OOtobe Iss;an�I 2;y0
�ooubl,
22 ? �Ire's 9.
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