HomeMy WebLinkAboutRoof Inspection Affidavit Planning&Development Services
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Building&Code g Regulation Division
! UNTY Z300 Virgmia Avenue
RI
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Fort Pierce,FL 34982 `-C r VED
772-462-2165 or 772-462-2172
Fax:772-462-6443, p MAY 0'� 2020
+SST. Lucie county, Permitting
--------------------------
=Lucie �
ROOF INSPECTION AFFIDAVIT
,Re: Permit# d0D 3 ' O S9 ?j
I rK 4RniMs�1_, 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 FS to make such an inspection.
On or about 5Ito. ) a°d-0 ,1 did personal
ly iy inspect the roof deck nailing
(Date) 1� ✓�
work at: 9 LJ o G -D-C-ef
(Job site address)
Based upon that examination 1 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).
(W Coe r33o8-)-cp
Si a ure and seal incense#
STATE OFFLORIDA
COUNTY OF S�' Z-U Ge ei
Swom to and subscribed before me this day of (n _20d
by14,q n112 . Who is personally,known to me or who has produced
as identification.
Notary Public,State of Florid
Signature of Notary:
Commission Number: (Seal)
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_State of Florida-Notary Public
gr` Commission#GIG 2;SQ28
My Commissio EXp�ices
September 1e,Zd22
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