HomeMy WebLinkAboutRoof Inspection Affidavit - Permit # 2010-0704Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 77 2-462-2L7 2
Fax: 772-462-6443
RopF r IUSPEET|QN AFFI PAVII
Re: perrnit # 2A1 0-0704
Roland Wiley licgnspd
(Please print name & circle licen
*Generol, Building, Residentiol or Roofing Controctor or ony individuol certified under 468 F.S. to moke such an inspection.
On or about 11-4-2A20 I did personally inspect the roof dqc-k naili,lg
(Date)
work at. 6013 Petticoat Place
(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
ccc133 1170
Signature and eal License #
STATE OF FLO
COUNTY OF
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Who is personally known to me or who has produced
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Notary Public, State of Florid 60t-r,Signature of Notary:
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Commission Number:
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Swornto and subscribed before m
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May 09, 2A21