HomeMy WebLinkAboutRoof Inspection Affidavit I
Planning & Development Services
L i Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172 j
Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT
Re: Permit#
I, licensed as a( Contractor*/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 /02 I I did personally inspect the roof deck nailing
(Dat )
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work at: V5060 S11946 (kiw 131 ub SAT ed'-u,irc/"
(Job site address)
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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
is m t strigent).
ignature and eal License#
STATE OF FLO D _
COUNTY OF
SXAI `,and-eu cribed_befo e.methis p �Iday of " l�rC—� 20��
by Who is personally known to me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
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