HomeMy WebLinkAboutRoof AffidavitPlana i ng & Deve lop rn e nt Se rvice-S
Buil-iing & Code Regulation Division
2300 Virginia Ave n ue
Fort Pierce, FL 34982
i 772 2-7165 or 772-462-2172
Fax 772-452-6 41
ROOF I NS PECTI ON AFF I DAV IT
Re. Perrx'ilt # 012-0507_
�ROLAN D VALEY II��ned a fir, � o ntrac�or Engi rwee rf Architect
{Please print name & clrcie I iC�rrse ty tF54 6S Bil;ng inspector
* fJ.eneF4Td &uifain9,ftesW6ri0t or A.0g.rj �$ Carlfra.CW of &my irAV,d edrtjji�e0 Urr r 468 FS to Mvko such an inmate .
On or about 1-20-2021 1 did personally inspect the rmf deck nail' rig
(Date)
work at: 019 AWN C IA PIa-Ge
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Based u por, t hat exa m i nation I h aae determined th e i nsta Ilation vyas done accord Ing to t he current
ed iti uri -of th e F lend a Existing Su ild Fng Cod a 5ertio rw 708 o r the product app rovai riutvin fitted (which Rver
i5 most Strigent ,
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lgnature a rrd Sea I
License M
STATE OF FLO `
UfJTY OF
S t0 �dl�11befflre tlh daV aI 2& 1
taw Why Is
as knwrr to �1 o� o hasrduted
as identified of .
Wotary Public, State of Florida 5 '„ � RRANINWODRE
Signgthre of N-otary, l� CommWO10110A9t
Commission NU tuber_ Expr woX Q,1
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