HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT,aCt-mdi ED
BY
C;t 1 116i
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Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
i Fax:772-462-6443
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ROOF INSPECTION AFFIDAVIT
Re: Permit #
1 40-t"JC \A/416licensed as a(n)Contrlctor*/Engineer/Architect
(Please print name & circle license type) I *FS468 Building Inspector
I
*General, Building, Residential or Roofing Contractor or anyindividual certified under 468 F.S. to make such an inspection.
On or about �C (1� , I did personally inspect the roof deck nailing
(Date)
work at: 03 Se1,o,Ct br1 RA 6��T�ICICt°
(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
is most strigent).
. "�ni d
CCC 137�0�
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF , %—%I c rt�
Sworn to and subscribed before me this �A_ day of 20A
by l�o"A- t - c k a ltii Who is personally known t me or who has produced
I-1. ID 1-- as identification.
Notary Public, Statdof,,Florida
Signature of Notary:
Commission Number:'
En
DE/NNA MARIE GIVENS
-AY COMMISSION # GG 022023
EXPIRU-11A ember 16, 2020
Bonded Thni Notanr Public Undervr'leT