HomeMy WebLinkAboutRoof Inspection Affidavit - i I
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Planning&Development Services
Building&Code Regulation Division
® 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 77262-2172
Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT
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Re: Permit# JUL 2 6 2017
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licensed as a(n)Contractor*/Engineer/Archit I'ct
(Please print name&circle license type) *FS468 Building Inspector
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*General, uilding,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about I'2 f , I did personally inspect the roof deck nailinR
(Date) `
work at:
(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 mos trigent).
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Signature Ad Sea License#
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STATE OF FLORIDA
COUNTYOF 5F lS_ Cl C—�
Sworn to and subscribed before me this day of
by_QS�`Z �,l\D'4-> u, Who is personally k wn to a or who has produced
as identification.
Notary Public,State of F ri a 9
Signature of Notary: Ct ��� (/O _�-� .+,ic' '3K: MA OE LA LUZ VELASCO
• r My COMMISSION#R GG050399
Commission Number:_ -� JeO `'��1�1 (Seat) 1EXpIRE3 November28,2020
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