HomeMy WebLinkAboutroof inspection affidavit i
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Planning& Development;Services �
Building&-Code Regulation.Division
2300 Virginia Avenue.
i Fort,Plerce;.FL 34982
_'_:..:::.. .....z:.- •_:., __ =.. .: 772-462-2165.or 772-462-2172
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Faks 772-462-6443
A00F. INSPECTION%AFFIDAVIT
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Re: Permit# 03Z
I, �L STD L�G.r/oz licensed..as a(n Contract /Engineer/Architect
(Please;print name&.circle license type)000%3Zg737 "TS468 Buitding Inspector
*General,Building,Residential or'Poofrng.Contractor orany individual certified under4e8 F.S.to moke.such an-inspection.
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On or about �v`ev I did personally inspect the,roof deck nailing-
(Date)
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work
(loll site address)
Based upon that examination I'have determined the installation was done.accordir g-to the current
edition of the Florida Ekisting.Building Code-Sectian.708.or the"product approval submitted`(whichever
is'mos strigent).
0737
Signature'and Seal License##
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STATE OF FLORIDA g j
COUNTY OF ft ,,C.l�i. �
.Sworn to and,subscribed before,me this, day of MID
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by i�J2° Mkran 0z_. Who i personally knower tom .or who has produced j
as identification.
Notary Public,•State of Flor'
Signature of Notary:
Commission Number: (Seal)
En oiv i;.NNO ,,, TE;RESA PETERSON CEW,.IS
=o` Notary Public State of Florida
C.6MM15Slon #::GG 307829 '
oinmissior, xptres
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