HomeMy WebLinkAboutRoof Inspection Affidavit2018-01-03 09:06 Marzo Roofing Inc. 17728789051 >> 77246PA443 P 1/1
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COUNTY
F L 0 R I D A -�
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, Fl. 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit #
1 ;5 i,(". rD icensed as a{ Contractor* Engineer/Architect
(Please print name & circle license typ *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 1 did personally inspect the roof deck nailing
I C Dat )
work at: �7'0 7. I rh7�.�4 gw—A R4&, , EP �z
(job site address)
Based upon that examination I ermined the installation was done according to the current
edition of the Flo ' is . Build' Code Section 708 or the product approval submitted (whichever
is most s nt).
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Signature and Seal License #
STATE OF FLoR�lR9,• J , , G 1-C
CouNTYOF -1 [•
Sworn to and su scribed before me this ^ day of 201J
who is personally own to me o who has produced
as identification.
le'x�Notary Public, State of Florida +
Signature of Notary;
Commission Number: (Seal) w-
��r'"�""'�, DAV1D VANDERFL113R
En tt V` T MY COMMISSION #FK098550
4"+von EXPIRES MArch 9, 2018
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