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HomeMy WebLinkAboutRoof AffidavitPlanning & 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 # 10 s 0 s(41 1 d4� licensed as n)Contracto: */E`' ineer/Architect (Please print name &circle license ty *F5468 Building Inspector *General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection. On or about 1\Ido I did personally inspect the roof deck nailing (Date) % �( work at: (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 strig�nt). , `� /1 and Seal STATE OF FLOR Ajj ! •, COUNTY OF CCC i3a��-ate License # Sworn and b crib�edj befor me this _� day of © 0 t ebC4, 20 by �h�l� M Who is personally known to me or who has produced as identification. ASHLEY DEAN Notary Public -State of Florida LE Commission N GG 978378 My Commission Expires April 14, 2024 Notary Public, State of F ida Signature of Notary: Commission Number: (Seal) En ASHLEY DEAN IjNotary Public -Stats of plotivi slog Commission N Go $11576 My Commission 1*011 yi April 14, 2_044 ii uiUNTY F L O R I D A 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 # 10 s 0 s(41 1 d4� licensed as n)Contracto: */E`' ineer/Architect (Please print name &circle license ty *F5468 Building Inspector *General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection. On or about 1\Ido I did personally inspect the roof deck nailing (Date) % �( work at: (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 strig�nt). , `� /1 and Seal STATE OF FLOR Ajj ! •, COUNTY OF CCC i3a��-ate License # Sworn and b crib�edj befor me this _� day of © 0 t ebC4, 20 by �h�l� M Who is personally known to me or who has produced as identification. ASHLEY DEAN Notary Public -State of Florida LE Commission N GG 978378 My Commission Expires April 14, 2024 Notary Public, State of F ida Signature of Notary: Commission Number: (Seal) En ASHLEY DEAN IjNotary Public -Stats of plotivi slog Commission N Go $11576 My Commission 1*011 yi April 14, 2_044