HomeMy WebLinkAboutRoof Inspection Affidavit i
Planning& Development Services
C Building& Code Re ulation Division
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2300 Virginia Avenue
Fort Pierce, FL 34982
-- - - 772-462-2165 or 772-462-2172
Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT
Re: Permit# Q " M�
I,
I, 12 licensed as a(n)Contractor*/Engineer/Architect
(Please print namA circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 FS.to make such an inspection.
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On or about 10 1 I - , 1 did personally inspect the roof deck nailing
(Date)
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work at: �� • c� � 1 f�a.+
(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).
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Signature and a License#
STATE OF FLORID
COUNTY OF
Sworn to and subscribed before me this day of OCar— 20
by-�� (r!q-,A&j!,Lq Who is personally known to me or who has produced
as identification.
Notary Public,State 4Floo Signature of Notary:
Commission Numbe (Seal)
En
TARA LEA MATTHEWS
MYCGMMISSION#GG127632
EXPIRES July 24,2021
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