HomeMy WebLinkAboutRoof Affidavit 19.06.2020 01:37 PM 8637637662 P 1
Planning& Development Services
1` "9 Building&Code Regulation WlulS10
2SOO Virginia Avenue �.
Fort Pierce, Fir 34982
772-462-2165 or 772-462-2172
Fax:772-462.6443
ROOF INSPEC'fi ION AFFIDAVIT
Re: Permit#
Xf, ii
__.-. , licensed as a(n)Contractor'"/Fngineeq/Architect
(Please print name&circle license type) *FS468 Building Inspector
*general,Budding,Residential or Roofing Contractor at any Individual certified under 469 r.5.to make such an Inspection.
On or about I did personally inspect the roof deck nailing
(Date) /~
work at: I���� I "t 6tot
(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 611 or the product approval submitted (whichever is
most strigent),
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Signature and Seal License#
STATE OF FI,ORK)A
COUNTY OF
Sworn to and subscribed before me this day of YE 41 20 L/ l
by o Who Is personal) known to me or ho has produced
as IderrtlFicarlon.
Notary Public,State of F anff��t
Signature of Notary
Commisslon Number: (Seal)
En 01/19/2011
HHA71i�R EbWAR')SON
,5
MY COMMISSION#GG 215186
=; o= EXPIRES:May 7.1,2022
J 4yP' aondodTBruNotaryNtillcUnrlorwrl
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