HomeMy WebLinkAboutRoof inspection affPlanning & 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 #Dq- 0213
I• , 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 under 468 F.S. to make such an inspection.
On or about 3-3 - 2 OTO , I did personally inspect the roof deck nailing=
(Date)
work at: �% r%(4w44 9Z8
(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 sst�rigent).
Signature and Seal
STATE OF FLORIDA
COUNTY OF I��17iLt`J
CCC 1326 Ste] Ll
License #
Sworn to and subscribed befor me this � day of 20'7
r- P` Who is y
by �Q„�, �,q-S K.. pePsonall known to or who has produced
as identification.
Notary Public, State
Signature of Notary:
Commission Number:
I KEGAN CRA�NFORD
MY COMMISSI(1N GG265052
�r
EXPIRES ()ctuber 03.2022
(Seal)
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