HomeMy WebLinkAboutRoof AffidavitPlanning & 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# SQL
I, licensed as a(n)Contractor*/Engineer/Architect
(Please print nam & 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 116 a I did personally inspect the roof deck nailing
(Date)
work at: qjj jckr&sjv, C ►'(P
(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).
Signature and Seal
STATE OF FLORIDA
COUNTYOF
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License #
Sworn and subscribjed before me this 61 da 0L)a 20 Z 1I
byIG$ i Z Who is p rsonally known me 6r who has produced
as identifica
Notary Public, State of FI rida ;
Signature of Notary:
Commission Number: H S� 2 (Seal) rFOfF�°Q
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DAYRAJ. REGIS
Commission # HH 053320
Expires October 14, 2024
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