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 # Qb 9 6
AAJ h ,)j A Sslfcensed as a( 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 on inspection.
On or about �1 z , I did personally inspect the roof deck nailing
(Date
work at: Z(3 l-m,n,.� bl� Gtr �l�Y'�✓ �- , �"�'
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 strige
CGG ! 33/� / Z-
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Sig tu e nd Seal License #
STATE OF FLORI A
COUNTY OF 1,0 IQ S 1
Sworn to and subscribed before me this U� 20 1,
by (i•�p_-�-{. a n�pS��/ Who is pe onally known to m or o has produced
as identificatlo .
Notary Public, State ofrida
Signature of Notary. G
Commission Number: /f- (. -7 �6 / (Seal)
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Expires: Nov. 29, 2024
Bonded Thri Aaron Notary