HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITi
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Re: Permit #1 304- (D -Z
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
ROOF INSPECTION AFFIDAVIT
I, 5�,,, '(,c y—worNtcensed as a(n)Contractor*/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 Mk2.�B�'aaa�' , I did personally inspect the roof deck nailing
(Date)
work at: Q�� c' Ca,- s VA
(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).
Signature and Seal
STATE OF FLORIDA
COUNTY OF '-Sk. t.Vc'-.,C.
Q t-4
License #
Sworn to and subscribed before me this NIA day of ur" 20A,
by �'. n �S, , c%% -nfvd 11 Who is personally known'to me or who has produced
V � !D L. as identification.
Notary Public, State o
Signature of Notary:_
Commission Number:
En
DEANNA MARIE GIVENS
--W COMMISSION # GG 022023
EXPIRES&&ber 16, 2020
Bonded Thru Notary Public Underwriters