HomeMy WebLinkAboutRoof Inspection AffidavitPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-216S or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # )-6og — a3 0 (,a
I, Do i,i n R inim e-licensed as a(n)ntractor*/Engineer/Architect
(Please print name circle license type) Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 FS. to make such an inspection.
On or about _ ZI 1" �^ , I did personally inspect the roof deck nailine
(Date)
work at: � � ck' Al f%L l i 'I F 1 0 P,� G C: J'y %q 9
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing BujWing Code Section 708 or the product approval submitted (whichever
is most strixW*.—"-"- )
Ccc13zFV/
License #
STATE OF FLORIDA
COUNTY OF L U( i
Sworn to and subscribed before me this 1.7 day of 'C ✓ 20 :1--
by AyA. R%4A1� —Y- �_
Who i � -r who has produced
as identifica on.
Notary Public, State of Florida
Signature of Notary:
Commission Number: (Seal)
En
Notary Pubic State of Florida
Jeffery J Arnold
NOW)
M Commission HH 011872
Expires 0611712024
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