HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT•
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Re: Permit# )r�Li2i JR%�
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fa :772-462-6443
ROOF INSPECTION AFFIDAVIT
I, (p,r.�.t — nsed as a(n)Contractor*/Engineer/Architect
(Please print name & cir�c e 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 aboutI did personally inspect the roof deck nailing
(Date)
work at: t35-05' Qic�"cA4c-0&-W
(Job site :address)
Based upon that examination I have determined the installation was done according to the current
edition of the Flo E ' g Building Code Section 708 or the product approval submitted (whichever
is most str'
Signature and Seal License #
STATE OF FLOR . L iJC COUNTY OF
Sw to and �bscrAbed before me this .26 day of 201
by -II i Who is personally known to me or who has produced
as identification.
Notary P iir,� a of VoFtda j I
Signature of Notary: eft
Commission Number: (Seal)
En
^o;aYo�a�c, KAREN S. NIELSEN
•'
Commission # FF 115637
My Commission Expires
June 12, 2018