HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Buildiing&Code Re
guiation Division.
" 2300 Virginia Avenue
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® Fort Pierce,FL 84982
77262-23 65 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# I7?o- 0 l�_
AIoL ,.,;i: licensed as a( Gontracto /Engineer/Architect
(Please print,name'&circle license type) *Fs46s Building Inspector
*General,Building,Residential orRoofing Contractor or any Individ+iulcertifred under 468 F.S.tomake:such an inspecf ern:
Qn'or about._ j36 // 7 I did personally inspectthe_roof deck nailing
(hate).
work at `7504 fit - ,mac_ :3 Iq t
(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).
-Signature and Seal '" License
STATE OF FLORIDA
COUNTY OF G yLlse•n i tJOw"
Sworn to•and subscribed before me this. ' .. dayof: 20.1
by : ' r ale. a� Who is personally known'to me or who has produced
rC. as identification.
Notary.Public;State of:Fl rida
Signature of Notary: � i5 . `s
Commission Number.: 1SQcq , a "
(Sealy CA"OTIMMARIE RODRIOUES
MYCOMMISSION4 G0;1520g0
En A0. EXPIRES:ocWar 16,2Q2t
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