HomeMy WebLinkAboutRoof AffidavitCOUNTY
F L O R I D A
Re: Permit # �' I bL-b L` O
Planning & 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
I, 5� K 06v)VQlieensed as a(n)C ntractor ngineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 488 F.S. to make such an inspection.
On or about I did personally inspect the roof deck nailing
(date)
work at:
(Job site address)
Based upon that examination I have determined the installation was done accordingto the current
edition of the Florida Existing Building Code Section 708 or the product approval submitted (whichever
is most strigent .
- Gccb
Signature and Seal License #
STATE OF FLORIDA
COUNTY OFL—
Swornnd subscrib d before me this a 54
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by _ if 0-eej Who i ersonaIIy known me or who has produced
as identifica io .
Notary Public, State of FI
Signature of Notary: U (Seal)
Commission Number:
En
Nuyy public Stale of Florida
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