HomeMy WebLinkAboutBlankenbaker roof decking affidavit.pdfPlanning & 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# SCLC -2003--- OT80
I, VAJe/(3 licensed as a(n)Contractor*/Engineer/Architect
(Please prini name & circle license type) *FS468 Building Inspector
*General, Building, Residential or -Roofing Contractor or any individual certified under 468 F.S. to make such on inspection.
On or about 6 �D 2-o I did personally inspect the roof deck nailing
Date)
work at: 6 150 ( -SA-f L—,2 Aro f
(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
ism igent).
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Signature and Seal License #
STATE OFF RI ALL uR
COUNTY OF
Swoyrr(o andsy��,cribed before me this I () day of Zd U—"— 202-0
by G A'1 Who is personally known to me or who has produced
as identifiMA cation—.
Notary Public, State of r a L/� os01 py,
Signature of Notary: T/ %% w
Commission Number: (Seal) �,o
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RHONDALYNN OKSMAN
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commission # GG 174772
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Expires February 16, 2022
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RHONDALYNNOKSMAN
Commission # GG 174772
Expires February 10, 2022
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