HomeMy WebLinkAboutRoof AffidavitP--,n )Jf-
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COON Y
F L Q R I D A
L
Re: Permit
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,Fj C64 licensed as a n)Contractor* Engineer/Architect
(Please rint name & circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.5. to make such an inspection.
On or about I did personally inspect the roof deck nailing
(date)
work at: (Inglan Avco/�
(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).
G
Signature and Seal
STATE OF FLORIDA
COUNTY OF _ [p)2--2- —
CCM 52-65- q
License #
Sw n to and subscribed before me this day of—'C'�+'f'a�2 2p 2
by Who is personally known to me or who has produced
as identification.
Notary Public, State of FI
Signature of Notary:
Commission Number: c
En
Sk�hAN CRAWFORD
MY COMM1SSiON # GG265055
EXPIRES October 03, 2022