HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
uilding&Code-Regulation Division
,. B
2300 Virginia Avenue
COUNTY q
Fort Pierce, FL 34982
w, 7724624165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 7
I, �elit 'licensed.as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building inspector
*General,Building,Residential or Roofing Cont�raactor or any individual certified under 468 F.S.to make such an inspection.
On or about Wiz' �! . / , I did personally inspect the roof deck nailing
(Date)
work at:' 7 50 3 S c�caN
(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 mo Vs rige ).
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Sig ture and Seal License#
STATE OF FLORIDA
COUNTY OF Lk c, e-
�eern �Qf
rn_to. and subscribed before me this day of 20 7
b V�� � Who is personally known to me or who has produced
GL Qx* as identification.
Notary Public;State ri
Signature of Nota _
Commission Numbe . (Seal), Lti_;, ;NA I IGRAM
Notary Public-State of Florida
En My Comm.Expires Dec 20,2018 .
Commission #6 FF 177249
O r1 't4�i l a����� Bonded through National Not
Assn. "
in9 Department
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