HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT' t
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Re: Permit #ywdy 4d\�
I, Q" wd licensed as a(r1
(Please print na A circle license type)
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
INSPECTION AFFIDAVIT / R,
sT 4U�/ I'
e Co
unty
/Engineer/Architect ' pernittling
*FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about 9 -11 - 12 , 1 dij personally inspect the roof deck nailing
(Date)
work at: SSOW 6,ia l,e. D Pi e� r F-t rL,F l M913 I
(Job site address)
Based upon that examination I have deter ined the installation was done according to the current
edition of the Florida Existing Building Code Section 708 or the product approval submitted (whichever
is rn-o ,striRent).
Signature and Seal
r
STATE OF FLORIDA
COUNTY OF 'S k - �
Swgrn to and subscribed before me this 1�
by W %\Vt'V . Who is
O 1_ as identi
Notary Public, State of rida
Signature of Notary:
Commission Number: 121EA Sd1b-V
En
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License #
Of 20
Ily known to me or who has produced
IEGIVENS
®�,�.IvrlAXj AUG 022023
MY Cov' t&1SS -Ji t 16, 2020
EXPIRES:IJe PublicUndetwtltets
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