HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building& Code Regulation Division
2300 Virginia COUNTY Avenue
1 Fort Pierce, FL 34982
.........�_... .___.-_, 772-462-2165 or 772-462-2172
Fax: 77 2-462-6443
."o ROOF INSPECTION AFFIDAVIT
Re: Permit#
I,J cs(�o, v&%rw`-)icensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
i
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an Inspection.
On or about"--Iki I�l . I did personally inspect the roof deck nailing
(Date)
work at: Gr4 677
(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
1§jposkstrigent).
> ��.L-i 3350Q.(—
Signature and Seal License #
' STATE OF FLORIQI� ��G %
COUNTY OF J Sworn to and subscribed before me this I Q day of k5 20Z
``�ap1AflY,eG"
by d1l Oi f)tl iiA) Who is personally known to me or who has pro
PCs as identification. Cam°f F o N (rq
My o `O�a No Gly
Notary Public,State of Florid 1 1 �Crobe'-9&/'o ?,, Ubl
Signature of Notary: V '?? 20 2i�e�9
Commission Number: (Seal)
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