HomeMy WebLinkAboutRoof Inspection Affidavit i
Planning& Development Services
Building&Code Regulation Division` � �• g g
IUNTY
CO
2300 Virginia Avenue
Fort Pierce, FL 34982 j
w 772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Z Re: Permit# 00-aj
l�1, licensed as a(n)Contractor*/Engineer/Architect
(Pleas6 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 / — 2 , I did personally inspect the roof deck nailing
(Date)
work at r' 2
Job site address)
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Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Code Section 611 or the product approval submitted (whichever is�
most strigent).
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Signature and Seal License#
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STATE OF OF FLORIDA
COUNTY OF
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Sworn to and subscribed before me this day of 20_,
by Who is personally known to me or who has produced
as identification. i
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011
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