HomeMy WebLinkAboutedgevale affPlanning & 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 # - — I 0
I, icensed 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 F.S. to make such an inspection.
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On or about 11I did personally inspect the roof deck nailing
(Dat )
work at: �" -A va
. U
(lob s e 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).
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STATE OF FLM g
COUNTY OF —(
icense
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Swo cubs d or e this ft day of � 2p
by ilk f{ �. Who its personally kno produced
as identification. KA HEBINEriiVUMS
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Notary Public, State of on'da 1 EXPIRES- DEG Cz
Signature of Not 3tr �nst{.
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Commission Number: (Seal)
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