HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT03r 0512013 07 ; 57 A l l A rea Roo f i r_
(FAX)7724646600 P,0011001
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v-ok %.L IL M-
NTY
Planning & Development Services SCANNED
Building & Code Regulation Division �� �UC�
Z300 Virginia Avenue
Fort Pierce, FL 34982
77x 462-2165 or 772.462-2172
Fax: 772-462-6443
Re: Permit #AD 0, — C �l
I, Aadryw Gr;Q5. Jjn,n as a(ig
(Please print name & circle license type)
*General, evilding, Residential or Roofing Contractor ore
On or about ��— �— I '� , I did
(Date)
work at:
(job site address)
r/Architect
*FS468 Building Inspector
centred under 468 FS, to make such an Inspection.
inspect the roof deck nailing
34W-j
MAR = 5 2018
Based up that aminatla I have determined the installation was done according to the current
editio the F rida Ex1st1 B di Code Section 708 or the product approval submitted (whichever
ism trig t).
C 13DCa q9
Signature. and al License #
STATE OF FLORIDA
COUNTY OF �" 1 LAQLR,
Sworn to and subscrib bef me this day of Af2b— 20JZ
by r• Who is pErsenally known tome or who has produced
as Identification,
Notary Public, State of F ` �/}_
Signature of Notary: �'7
Commission Number: I (Seal)
En FAnWMAsON
* ,� MYCOMM19S10N0000OgB39
EXPIRES: Juno 20, Z20
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