HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
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Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
....... 772-462-2165 or 772-462-2172 7Lucie
Fax:
772-462-6443 EDu0ROOF INSPECTION AFFIDAVIT Permitting
Re: Permit#
l� TODD ADDERLY , licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under468 F.S.to make such an inspection.
On or about /? 111244, 2-6U-'ll , I did personally inspect the roof deck nailing
(Date)
work at: 3908 AVENUE M
(Job site address)
Based upon that examination I have determined the installation.was done according to the current
edition of the Flori Existing Buildin Code Section 708 or the product approval submitted (whichever
is mostrigent).
CCC 1327886
Signatur Iand Seal License#
STATE OF FLORIDA
COUNTY OF BROWARD
Sworn to and subscribed before me this R day of 4z 210,-V
by Who is personally known to me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary: L— 'F"
Commission Number: (Seal)
En
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