HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITr-
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Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
t Pierce, FL 34982 SCANNED
-462-2165 or 772-462-2172 BY
772-462-6443 'St Lucie ftnty
Re: Permit # I X8-0 1 Z
i
I, t,sUp licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) I *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any indl vidual certified under 468 F.S. to make such an inspection.
On or about I did personally inspect the roof deck nailing
(bate
work at: 1
pr-
(Job site a
Based upon that examination I have determi
edition of the Florida Existing Building Code!
is most strigent).
,A,
Signature and Seal
STATE OF FLORID r
COUNTY OF 4zt,
/
Sworn to and subscribed before me this ! day
by��// �f� 1�"s Who is persoria
as identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number:
En
the installation was done according to the current
on 708 or the product approval submitted (whichever
(-(-( 13 3 a a kA —4
License #
l(x 204
me or who has produced
(Seal)
W" FAQ: AUCREY B. HUM
PHREY
' .
_.: �: MY COMMISSION # FF 174772
EXPIRES: March 6, 2019
od Bonded Thru Notary Public Underwriters