HomeMy WebLinkAboutRoof inspection affidavit including photosPlanning & 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
Re: Permit#Yv, ao-U/_0016
1, 144-4 fl-OAk . licensed 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 .0 ° , I did personally inspect the roof deck nailing
(Date)
work at: _14� A) /5Q- e71-
(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 most strlgent).�o-
ignatu a and Seal License #
STATE OF FLORV�P� /
COUNTY OF J�� —le
Swor to and subscr' ye�d �be,f� re me this 14 day of c2�< 20
by _�'' Who ' person ly nown to me or who has produced
as identi ication.
Notary Public, State of F r d
Signature of Notary:
Commission Number: (Seal)
En
��1V PVB�i CHARLENE DILLINGER
a:W1111's Notary Public -State of Florida
Commission # GG 956356
'� My Commission Expires
April 03, 2024
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