HomeMy WebLinkAboutRoofing Inspection Affidavitfie. Permit #d+...ml�..
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fejt: 772-467-6443
ROOE.INSPECTIOIN AFFIDAVIT
J � _�, r� as a(n ontractor Engineer/Architect
Mease print name & circle license type) *F54EiB Building Inspector
.16C6& al, 00dinQr Rerfdentiol or Roofing Controctce Or onyi,nttivrdilof eerrIfod under 468 F.S. ro nwke such an i+aspect?can.
Oil or aboo `did personally insPectthe 1790f dMJ Uilirag
Olt
(job site address)
Based upon that examination I have determined the Installation was done accord.fras tothe current
edition of the Florida Existing Building Code Section 708 or the prtaduet approval submitted 1whichever
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strlgentj.
Signature and Seal
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License #
STATE OF F LCA
COUNTY or arn� c
Swum tcs an I s bscr ed fare me this 1 — day o! � _
qy [ ,c who Is rsmnail5 I n0Wn tta me "r who has omd�aced
as identifcaition.
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Note ryPublic,z
Signature of Notar -. ���.�
commission Number:
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