HomeMy WebLinkAboutRoof insp affWArpAwe.
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Planning & Development Services
j _ Building & Code Regulation Division
410 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # Aoc) 7 - oroa 9
I, DOAA Ki, , licensed as a(n Contractor Engineer/Architect
(Please pr t 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
On or about 00 1 did personally inspect the roof deck nailing
(Date) ,
work at: 57410
(Joe address)
Based upon that examination I have determined the installation was done according to t
edition of the Florida Existing B ' ing Code Section 708 or the product approval submitt
is most strigent).
CCc l2AG974
Signature and Seal License #
STATE OF FLORIDA \
COU qTY OF
Sworn to and subscribed before me this I 1` day of 20W
by t-Py Z.o(z Who is peesonally known to me or who has produced
as identification.
Notary Public,
Signature of Ni
Commission N
En
(Seal)
KEGAN CRAWFORD
My COMMISSION # GG265055
EXPIRES- October 03, 2022
current
(whichever