HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
COUNTY
M r Fort Pierce, FL 34982
772-462-2165 or 772-462-21.72
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
JAN 2 2 208
Re: Permit# SLC 1711-0439 ,
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William Lasky Jr, , 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.
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On or about._ ''f , , I did personally inspect the roof deck nailing
(Date)
work at: 19 Majecuc Way Ft pierce FI
(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 708 or the product approval submitted (whichever
is mostpi est). r
CCC1326188 .
Signature and seal License#
STATE OF FLQR A
COUNTY 0
Sworn to and subscribed before me this Q day of I �20A
byZ j j jdQ ij Cry S jP Who is personally known to meteor who has produced
as identification_
Notary Public,State of a
Signature of Notary: f !'y
Commission Number: (Seat)
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CommiseID00165615
Expires JanuatY 6,2022
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