HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITT,
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Planning & Development Services
Building & Code Regulation Division
2306 Virginia Avenue
Fort Pierce, FL 34982
7721-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
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Re: Permit #
I,� licensed as a(n)Contracto'r*/Engineer/Architect
(Please print name & circle 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 about , I did personally inspect the roof deck nailing
(Date)
work at;35%- �► �� �(., ��
(Job site address)
Basec upon that examination I have determined the installation was done according to the current
editic of the Florida Existing Building Code Section 708 or the product approval submitted (whichever
is mo strigent).
CCC-05 rjes4-�
imature and Seal License #
STATE OF FLORI
COUNTYOF '�ti``� C-''
swo to ands scribed before me this day of 20 `
by JB 4��R�who is personal) ' wn o e or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary: a444% H.
Commission Number: U(Seal
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