HomeMy WebLinkAboutRoof Affidavit wzN� rex Planning & Development Services
Building& Code Regulation Division
2300 Virginia Avenue
L�r
Fort Pierce, FL 34982
� 0 772-462-2165 or 772-462-2172
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Fax: 772-462-6443
ROOF;INSPECTION AFFIDAVIT
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Re: Permit# �UC, � y"461
I, )(NC5 1W licensed as a( Con`tracto */Engineer/Architect
(Please print name&circle license type i i *FS468_Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such on inspection.
On or about ` au I did personally inspect the roof deck nailing
(Date)
work at: �Ci( 1� (1 �)C�.�iC I L i 1-.,-1-.. ��(.(;'� �..('._
(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 strigent).
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Signature and Seal License#
STATE OF FLORIDA
COUNTY OF �AI�
Sworn to and subscribed befogg m this. day of f 20
by 10�lt_I(- who is personally know to meor who has produced
as identTca ion.
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Notary Public,State of Flori a 11\
Signature of Notary:
Commission Number: ( (Seal)
En
'y°• ;. ANALI M.vIEYRA
MY COMMISSION#GG 907977
EXPIRES:August 27,2023
Bonded T1N Notary Public Underwriters
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