HomeMy WebLinkAboutRoof Inspection AffidavitRe: Permit #
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
QtK licensed as a(nContractor Engineer/Architect
(Please print name ci cle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any Individual certlfled under 468 F.S. to make such an inspection.
On or about 't-\a\"�"c� I did personally inspect the roof deck nailing
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(Date) (�
work at: W�ot''�l�
(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 strigent).
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Signatur an Seal
STATE OF FLORIDA
COUNTY OF Si I,u GIC
License #
—1'►'1
Swor,9 tp and subscqed before me this la' day of —Al a- i 20
by O st/ 1"« Who is personally known to 4 or who has produced
►� as identification.
Notary Public, State of Flori. a /
Signature of Notary:_Commission Number: Number: 66 00 �9V O (Seal)
En
;;�ti►�Y":; DEBORAH S. VEGA
MY COMMISSION # GG 009206
EXPIRES: October 4, 2020
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