HomeMy WebLinkAboutRoof Affdavit n
i
Planning&Development Services
Building&Code Regulation Division
I , 2300 Virginia Avenue
Fort Pierce, FL 34982 ;.
r 772-462-2165 or 772-462-2172
Fax: 772-462-6443
Cts ``.' F
ROOF INSPECTION AFFIDAVIT AUG 3 2017
Re: Permit#LIDS--i—
I, tk)'CA tL%i licensed as a( Contractor*/ ngineer/Architect
(Please print name&circle license type) *FS468 B spector
*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
(Date)
work at: 0l� , i' �� 44
(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 611 or the product approval submitted (whichever is
most strigent).
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me thisday of 20!7
by Ccker) J?,A D" jdL(Who is personally own tqa or who has produced
as identification.
Notary Public,State of FloridaF;?
Signature of Notary:
Commission Number: (Seat)
En 01/19/2011
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*= MYCODRFSStCN H14pFIpE
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#
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eondEXPIRES:March 62019
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