HomeMy WebLinkAboutRoof Inspection afPlanning & 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
Re: Permit # 6 c C�o 1 `D-Z�2—:3
I, c �wCQ-`� "Ijcensed as<n)Co:ntractor*/E gineer/Architect(Please print name & circle license t*FS468 Building Inspector
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*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection. j
On or about r C7 I did personally inspect the roof deck nailing j
( ate !I
work at: J or em'
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(Job site address)
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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
ignature and Seal
STATE OF FLORIDA
COUNTY OF
� �91
License #
Sworn to and s}Abed before me this -bay of. 20J'
by �r^1f��,lbriar� Who is personally known o me or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number: (Seal)
En
ELLEN V No ary Publi
state of Florid # GG 270079
Commission ExPires
My Comems 24 �0 3