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HomeMy WebLinkAboutRoof_Insp_Affadavit_0667-8418_BelfryPlanning & 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 # 2 010 , 0 66 7 I, F4ILA P CDSJ licensed 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. On or about 11 11 S � 2-0 1 did personally inspect the roof deck nailing (Date) work at: ,f Vie 1-19Gr`Kf- (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 s�rige4t). /0 Signaturq end License # STATE OF C' of © r-c—J C7 COUNTY 10 5wor to and subscribedL before me this � day of w`%L�'� 20 by %r (i g (_oL— TV Who is personally known to me or who has produced as identification. Notary Public, State of Florida Signature of Notary: Commission Number: C iol ( -7(CS (Seal) En Samantha Goodrich NOTARY PUBLIC STATE OF COLORADO NOTARY ID# 20204011765 E COMMISSION EXPIRES 03127f2 4