HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT}SGA➢ti1Pl ED
91
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-216S or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # It 'Y02 — 0 0 0 f
I, i1Crr t-c- d 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)
work at: U TriGt lil ,/y` 1h2
(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
X
strigent).
Signature and Seal
STATE OF FLORIDA
COUNTY OF 54- L"Cle
>3�7ayo
License #
Sworn to and §ubsqribed before me this '3 day of WN0. f 20l e
by %&3 y41A i %N1'% '*' by 1 Who is personally known to me or who has produced
�L q�L as identification.
Notary Public, Stat Florida aY: DEANNA MARIE GIVENS
Signature of Notary:
"S = MYCOMMISSION # GG 022023
:a4; EXPIRES: Djg�W 16, 2020
Commission Number: 5 _____ ;ff ,p €tq•' Bonded Thru Notary Pubic Underwriters
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