HomeMy WebLinkAboutCrumm Affidavit'
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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
Re: Permit # 2a� __C,-4' l.Q l
I, eallvLUU1 licensed as a(n)Contractor*/Enginee r/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 inspection.
On or about U F- (-eel W 20 , 1 did personally inspect the roof deck nailing
(Date)
work at: �00 33 q
(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).
Signature and Seal
STATE OF FLORIDA
COUNTY OF r
License #
Sworn i e
n to and subscrd before me this day of aj& n- 20ZO
v
by W ' -tC Who is personally known to me or who has produced
.A- as identification.
Notary Public, State of Florida
Signature of Notary: CL
Commission Number: yP al)NotaryPublic 3tetsofFWda
T' Pamela Junes
Enan�f EXPves06/1S 024 985470