HomeMy WebLinkAboutRoof Affidavit I -�. Planning & Development Services
,— Building & Code Regulation Division
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r 2300 Virginia Avenue
r Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
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Re: Permit#
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I, kvC� , licensed as (n)Cantractgr /Engineer/Architect
(Please print ame&circle license typ ` *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or ony individual certified under 468 F.S.to make such an inspection.
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On or about i 1 � � �` I did personally inspect the roof deck nailing
(Dati4) i
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 Cdde Section 708 or the product approval submitted (whichever
is most strigent).
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Signature and Seal License#
STATE OF FLORIDA
COUNTY OF I {CA Np
Sworn to and subscribed before ne this ;-�,i day of ( I 20-)'O
by �(I al Who ho is personally known to m`e or who has produced
as identification.
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Notary Public,State of Florida j� I
Signature of Notary:
Commission Number: .. (Seal)
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mYo� ANALI M.VIEYRA
MY COMMISSION#GG 907977
i '•;;,�sQ EXPIRES:August 27,2023
Bonded Thru Notary PublicUndervders