HomeMy WebLinkAboutRoof inspection affPlanning & Development Services
Building & Code Regulation Division
Fmf—.,v M 0 M 1. Lv= 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# U0i" t Qls(o
I, t cue{ licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
"General, 80d;ng, Aesi ential or Roafinrrg��Contractor or any individual certified under 468 F.S. to make such on inspection.
On or about Z V I did personally inspect the roof_ deck nailing
( Date)
work at: i0 26 _51e r e(YA AA
(Job site address)
Based upon that examination I have determined the installation was done according to the current
I
aiz
ding Code Section 708 or the product approval submitted (whichever
�1-227s7q
Signature and Seal License #
STATE OF FLORI
COUNTY OF Luclo
Sworn to and sub Pe fore e this �,� day of I Z0
by Who is personally knownA me or who has produced
as iden ' ' ation
Notary Public. State of Florian /e%
Signature of Nolan,
Commission Number: (Seal,
���MotarY PubOc State d Fbdde
b1aMw Wall
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