HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITSCANNED
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StLuer
Planning & Development Services
Building! & Code -Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
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Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT
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I
Re: Permit #
I, licensed as a Ke)
(Please pr' t name circle license t
*General, Building, Residential or Roofing Contractor or any individu
On or about 3 '2—� S'� I did persona
( ate)
work at:
(Job site add
Based upon that examination I have determined tF
edition of the Florida Existing Building Code Sectiol
is most strigent).
Signature an Seal
r/Architect
*FS468 Building Inspector
certified under 468 F.S. to make such an inspection.
inspect the roof deck nailing
installation was done according to the current
708 or the product approval submitted (whichever
License #
STATE OF FLORI A
COUNTY OF
p
Sworq to and subscribed before me this 0 day of 20_Z�'
by Who is perso X known me or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number: (S
En
LIAR - 8 2010
ry
-�• ,@E;y AUDREYB.HUMPkREY
My COMMISSION # FF 174772
EXPIRES: March 6, 2o19
^ "r, Bonded Thru NotaryPublic Underwriters