HomeMy WebLinkAboutRoof Inspection Affidavit 01119/2021 15:44 (FAX) P,001/002
Planning & Development Services
Building&Code Regulation Division
2300 Virginia Avenue
Fart Pierce, FL 34982
y 772-462-2165 or M-462-2172
Fax:772-46 2-6443
ROOF lhl�?ECTIQN AFFIDAVIT
Re: Permit## '412w� t7C'rT
I, 4R L4j-q , licensed as a( Contrac or* Engineer/Architect
(Please print name&circle license type) *F5468 Building Inspector
*General,Huliding,Re/siden/tlal or Roofing Contractor or any indlvldual certifled undor 468 F.S.to make such on fnspectlun,
On or about _1 f //! -'/ , I did personally'inspect the roof deck.nailing
(Date)
work at: 10 O 00 5 Q4��" ggr c_Tt •S-el
(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 strign�t�,.-• -
.Ar ature and Seal License#
STATE OF FLORI A -
COUNTY Or +1'1
Sworn to an subscribed before me this 1 I da ofT 20 Ul,
by I-a1�, �"wee . Who is per nown to me r who has produced
�. ns identificat
Notary Public,State of
Signature of Notary:
Commission Number (Seal)
Ett ;� ,', LI ETD9RACERAS
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