HomeMy WebLinkAboutjuan nail affidavitPlanning & 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 #� b b It 12
I, L 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 0// Q / , I did personally inspect the roof deck nailing
(Date)
work at:
(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).
�'�'WS'-C
+ Signature and Seal License #
STATE OF FLOHJD
COUNTY OF - k c�I- E'
-��--�� -�
Sw n to and subse ibed before me his �+P day of
by �Who is personally kno to me or who has produced
as identification.
Notary Public, State of FlMaa�,-�P
Signature of Notary:
Commission Number: (Seal)
PutsS� state of Florida
�y v �yocary and 5r
En } i Ara^da P S 11256
Y g, s, rni53ion GG 2
"• Expires 0412512422
vQf"If
Vin:
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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
Re: Permit #� b b It 12
I, L 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 0// Q / , I did personally inspect the roof deck nailing
(Date)
work at:
(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).
�'�'WS'-C
+ Signature and Seal License #
STATE OF FLOHJD
COUNTY OF - k c�I- E'
-��--�� -�
Sw n to and subse ibed before me his �+P day of
by �Who is personally kno to me or who has produced
as identification.
Notary Public, State of FlMaa�,-�P
Signature of Notary:
Commission Number: (Seal)
PutsS� state of Florida
�y v �yocary and 5r
En } i Ara^da P S 11256
Y g, s, rni53ion GG 2
"• Expires 0412512422
vQf"If
Vin: