HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
- I X Building& Code Regulation Division t
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
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Re: Permit# '20/Z—U VOW
I, icensed as a(n)Contractor*/Engineer/Architect
Please print name&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 ( ' 7 ' z F I did personally inspect the roof deck nailing
(Date) Z-C
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work at: A)
(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 a Seal License#
STATE OF FLORIDA
COUNTY OF S�l/
Sworn to and subscribed before me this day of 20�
by �1Qt'p t �A1c7 Who is personally known to me or who has produced
as identification.
I
Notary Public,State of,Florida
Signature of Notary:
Commission Number: -I Y (sett LEN VAUGHN
state of Florida-Notary Public
Commission # GG 270079 !
En M Commission Expires
MY
22, 2022 _
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