HomeMy WebLinkAboutRoof_Insp_Affadavit_0668-_7612_GreenbriarPlanning & 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 #20)0-066Y
I, 41tk jOCO U7J licensed as a(n)Contractor*/Enginee r/Architect
(Please print name & circle license type) *F5468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 458 F.S. to make such an inspection.
On or about I did personally inspect the roof deck naili
(Date)
workat: -76 / Z elIr
(job site address)
Based upon that examination have determined the installation was done according to the current
edition of the Florida Existin Building Code Section 708 or the product approval submitted (whichever
is m051-ftligent)„ / \
ignat r�ean d Seal License #
STATE OF it&fttDA C 6 \,CO '-�j 0
COUNTY OF �3661
Sworn to and subscribed before me this '�o day of i "'�'4e-m�` 20SC
by {7 ') Who is personally known to me or who has produced
as identification.
Notary Public, State of Florida 7
Signature of Notary:
Commission Number: (Seal)
En
i
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