HomeMy WebLinkAboutInspection Docs I-
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Planning & Development Services
Building&Code Regulation Division
4 2300 Virginia Avenue
a Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re. Permit it/ /L.. 710 00 r1
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gg(/C-'r' w "kl- licensed as n)Contracto */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 an inspection.
On or about /0� ,�„ l ' , 1 did personally inspect the roof deck nailin>?
(Date) r
'work at: 1Z� a - 1d' �
(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 strigent).
C C-G 13 R763f
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF
Swo to and subscribed before me this �• dayk
20 7
by N C� �',+) Who is personanown t me or who has produced
as identification.
Notary Public,State of Florid
Signature of Notary:
Commission Number: V(S
En
AUDREY B.HUMPHREY R E WE D
kr' MY COMMISSION#FF 174772
EXPIRES:March 6,2019
Bonded Thru Notary Public Underwriters OCT 2017