HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITJUN-29-2017 05:51A FROM: TO:17724626443 P.•1
Planning & Development Services
$gilding & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772462-2165 or 772-462-2172
Fax: 772-462-6443
R00F INSPECTION AFF(pAVIT
Re: Permit # (a
1,
K/111) -J
(PI se p nt name & circle license type)
licensed as a(n) ntract /Engineer/Architect
•FS468 Building inspector
"Generol, 9uiidrng, Resrdentici or R w frng Controctor or any indfvldna)certified under468 F.S, to moke Such an 1115pe00n,
On or about k nalllnA I did personally inspect the roof dec
(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 63.1 or the product approval submitted (whichever is
most strigent).
-,signature and Seal License #
STATE OF FL !DA
COUNTY OF
Savor a d scr' ed before me this "►'� day of ZV
by -
as who Is pars n to me or who has produced
as Identification.
nlotary Public. State o a '
Signature of Notary: Seal)
Cornmisslon Number: ( , ;a+'r COMMISSIONMFF2384
MYCOMMISSIt.% F523 9511
En OV19/201I
EXPIRES.Oct er
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