HomeMy WebLinkAboutRoof Affidavitt
Re: Permit #
11
(Please print name & c
r
Planning Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772=462m2165 or 772m462..2172
Fax: 772-462..6443
ROOF INSPECTION AFFIDAVIT
licensed as a (n)Contractor*/Engi nee r/Arch itect
ircle license type) *FS468 Building Inspector
*General, BuildIng., Residential or Roofing Contractor or
On or about
(Date)
work at:
any individual certified under 468 F.S. �o make such an inspection.
I did personally inspect the roof deck nailin
(lob site add
Sim
ress)
e"
0
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existi
ng Building Code Section 708 or the product approval submitted (whichever
is most strigent),
STATE OF FLORIDA
COUNTY OF
Swo to and subscribed before me this 49L day of
by .Who is personally known
as identification.---.-.
Notary Pblic, State of Florida
Signature of Notary:
7
Commission Number: �•�
En
License #
� Zvi,
to rne or who has produced
(Seal)
ON
AMA"
11
%�*
CAM # og "20
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