HomeMy WebLinkAboutRoof AffidavitRe: Permit # 20 'G--792--
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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
I, n U licensed as a(n)Contractor*/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� � 112-C)"20 , I did personally inspect the roof deck nailing
(Date)
work at: 2--73:� WO-cZ P -d
(Job site address)
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).
Signatur nd Seal
License #
STATE OF FLORID
COUNTY OF
Swor to and subscri d before me this I day of bC/ 20 go
f �j �—
by (-YVWMq ('W(_, Who is personally known to me or who has produced
/ as identification.
Notary Public, State of
Signature of Notary:_
Commission Number:
En
NOtNY Public State of Florida
R
Pamela Jones
MY Commauson GG 985470
Expires 08115/2024