HomeMy WebLinkAboutRoof 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 #_cqol�5'C" 0--w
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license
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I,xtCzp,Nc� , license s a(n)Contrac 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 e ""l, '�kn , I did personally inspect the roof deck nailing;
(Date)
work at:
(Job site adr ss)
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).
�,i" v�
Signature and Seal
STATE OF FLORIDA
B -
COUNTY Ofl.�+.Chc��J
License #
Sworn to and subscribed before me this day of 20�
by SIIGc2iLLir Nem . Who is a y no o me or who has produced
as identifica ion.
Notary Public, State of Florida
Signature of Notary:
Commission Number: (Seal)
En BONNIE LOVITT
�= MY COMMISSION # GG143436
afpd EXPIRES September 17, 2021
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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 #_cqol�5'C" 0--w
lis
wP► t�e1-------------------
license
®-�'�
I,xtCzp,Nc� , license s a(n)Contrac 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 e ""l, '�kn , I did personally inspect the roof deck nailing;
(Date)
work at:
(Job site adr ss)
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).
�,i" v�
Signature and Seal
STATE OF FLORIDA
B -
COUNTY Ofl.�+.Chc��J
License #
Sworn to and subscribed before me this day of 20�
by SIIGc2iLLir Nem . Who is a y no o me or who has produced
as identifica ion.
Notary Public, State of Florida
Signature of Notary:
Commission Number: (Seal)
En BONNIE LOVITT
�= MY COMMISSION # GG143436
afpd EXPIRES September 17, 2021