HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITJ
SCANNED
BY
ou wiprnmwlf
_
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
Re: Permit # L M v 3 q
I, 6T S CQLU W5? licensed as a n)Contractor* ngineer/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 V—lKze'�1g I did personally inspect the roof deck nailing
( ate)
work at: A5!--f'6eq
(Job site address)
Based upo mination I have determined the installation was done according to the current
edi ' of the Florido Existing Building Code Section 708 or the product approval submitted (whichever
�i2:z e--'c e
Seal License #
STATE OF FLORI
COUNTY OF
Sworn ito and subscrAed before me this day 20�
by L:L V �� D ) L t o,S . Who is personpir kno lo me or who has produced
as identification.
Notary Public, State of Florida
,2 Signature of Notary:
Commission Number: (Seal
En
kh PP
. AUDREY B. HUMPHREY
+; �= MY COMMISSION # FF 174772
EXPIRES: March 6, 2019
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