HomeMy WebLinkAboutRoof Inspection Affidavit C eu n�
Planning & Development Services
Building & Code Regulation Division
COUNTY 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# �0®� (pa
I, q4 R-O e 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 inspecti n.
On or about 3 ` V , I did personally inspect the roof deck nailing
(Date)
work at: a.7 75
(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 submitte (whichever
is most strigent).
C//j / ",� Ccc.l 3a(0 5-7 0
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF
Sw rn to and subscribed before me this�_day of c5 �2o�
by _- j Who is personally known to me or who has produced
as identification.
Notary Public, Stat o Flo ida
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Signature of Notary:
Commission Number: C (Se I
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My COMMI SION#G 6505
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