HomeMy WebLinkAboutRoof Inspection Affidavit i
2017 04-0.3 18:15 1.a.tayl,or fing 772 468 8397 >> 7724626443 P 1/2
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Planning&Development Services
Building&Code Regulation Division
2300 Virginia Avenue
COUNTY
Fort Pierce, FL 34982
772-462-2165 or 772-462-2272
Fax:772-462-6443
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yQ) `� L ROOF INSPECTION AFFIDAVIT
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o lea
Re: Permit#L(L,1,,,,,,0. �5-57--,g
. �. ��• .
'•;,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 certifled under 4oa F.S.to make such an Inspection.
On or about " I did personally inspect the roof deck nailing
(Date)
work at:
;(Job si address):,
Based upon teexaation I have determined,the�nstallat{on was done according to the current
edition o h Flsting Building Code Section 611or the product approval submitted (whichever is
most s nt .
ignature and Seal License#
STATE OF FLO i
COUNTY OF r
Sworn to and subsc be�,b'efore me this „day of i'l." 243—
by *+^ Who is personally known tome or who has produced
as Identiffb6tion,
Notary Public,State'of FI'
Signature of Notary;
Commission Number: (Seal) V.
En01/A9/z011 ooeris,�1'��:
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2017
RECEIVED AFR �3