HomeMy WebLinkAboutRoof insp aff I
Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
COUNT Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#SLC.
licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector j
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about I did personally inspect the roof deck nailing
(Da e)
work at:
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition f the lorida Existing Building Code Section 611 or the product approval submitted (whichever is
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most strj a t)
Ccc.133�Lo
4aju"d Seal License#
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STATE OF FLORIDPIC
'
COUNTY OF
I
Swognto ands bscribed before me this day of 20L17
by ` ho is personally known to me or who has produced
as identification.
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Notary Public,State of Flori�a\�
Signature of Notary:
Commission Number: (Seal)
=ANGELA HUFFNotate of FloridaEn 01/19/2011 FF 234730My May 27,2019Bononal Notary Assn.
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