HomeMy WebLinkAboutRoof Inspection Affidavit 02/23/2021 12:42 (FAX) P.00V0101
Planning& Development Services
- ; w Building&Code Regulation Division
2300 Virginia Avenue
j;• $ Fort Pierce, FL 34982
772-462-2165 or 772.462-2172
Fax: 772-462-6443 / d
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?ROOF INSPECTION AFFIDAVIT
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Re: Permit# -2-101
1, nL41zr. L4r" , licensed a Contractor* Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Resldentlal or Roofing contractor or any individual terrified under 458 rs.to make such an Inspection.
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On or about Z /BSI I did personally inspect the roof:deck nailing
(Date)
work at: 3 J 7 5 (A/qk ck V P— rr PI.�r CC.
(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 strg .
�33 2.3
ature and Seal License#
STATE OF FLORIDA ,
COUNTYOF
.Sworn to apd subscribed before me this /Z day ofzo
by. 0G( r . W is ersonaliy known to me who has produced
as Identification,
Notary Public,State of Flor- a
Signature of Notary:
Commission Number: A G 40 Z;L 951 (Seal)
En
R�yY_d�•. THERESAJAFFE
&ZNotary Pu61ie State of Florida
CommI55joit N GG 202301
''�of c��••" My Lamm,Expires Apr 1,2022
9onded through National Notary Assn-
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