HomeMy WebLinkAboutRoof Inspection Affidavit I
Planning& Development Services
Building&Code Regulation Division
® 2300 Virginia Avenue
® us. _ , Fort Pierce, FL 34982
_ r_. -: x:. ____._. 772-462-2165 or 772-462-2172
Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT
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Re: Permit#
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I, bAVID CAPAS , licensed as a(n)Contractor*/Engineer/Architect
(Please 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 , I did personally inspect the roof deck nailing
(Date)
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work at: -q'-f to FRS �®er 1&ec6, F-(_ 3qge�
(Job site address)
Based upon that examination I have determined the installation WIas done according to the current
edition of the Florida Existing Building Code Section 708 or the product approval submitted (whichever
is most strig nt
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Signature a d eal Licens #
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STATE OF FL ID 1 I
COUNTY OF �r'1V�
Swor�to�and s bsc 'bed before me this day of Q-i`^ 2017
by I y�`^� Who is perso mown tom r who has produced
as identificaLiUll. ��
Notary Public,State of FI ri
Signature of Notary:
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Commission Number. ''� ,'(Seal) ,••t►�y PETRONA PASCUAL
P�a,,
a°,: .`�: Notary Public-State of Florida
�•' : = Commission#FF 995716
En My Comm.Expires May 24,2020
��' O���'•• Bonded through National Notary Assn.
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