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HomeMy WebLinkAboutRoof AffidavitRe: Permit # -2 00 W - () SAV0 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 l' J 1, (ji/ i -n4-40 r Wjw, licensed as a(n)Contractor*/Enginee r/Architect (Please print name & circle license type) *FS468 Building Inspector *General, Buildin �esidentlalorofing Contracto f or any individual certified under 468 F.S. to make such an inspection. On or about 09. 06 . ZO 2-,0 , I did personally inspect the roof deck nailing (Date) work at: 1206 . � . 1A) i��/� .% klllgiC ��ZL��� . i i�e64 / V�-a1 (Job site address) Based upon that examination I have determined the installation was done according to the current edition of th xiing Building Code Section 708 or the product approval submitted (whichever is most st eent). i9 re and S STATE OF FLORIDA COUNTY OF Sworn to arld subscri before me this�� day of Z-;2= 1%S/� 202-Cby l Who is personally known to me or who has produced - as identification. Notary Public, State of Florida Signature of Notary: Commission Number: ('? L7 q �5 `� (Seal) En =,?pAvPu&Notx,Puolic State of Fbrida Y Cajachaguammission GG 935588 s 12/0112023 License #