HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
W = 772-462-2165 or 772-,462-2172
Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT
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Re: Permit#
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licensed as a(n ontract /Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
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*General,Building,Residential or Roofing Contractor or any individual certified under 468 h.to make such an inspection.
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On or about , 1 did personally inspect the roof deck nailing
(Date)
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work at:
(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 611 or the product approval submitted (whichever is
most strigent).
Signature and Seal License#
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STATE OF FLORIDA
COUNTY OF �v���
Sworn to and subscribed before me this day of 20I b
byr__:R�{' Lx Who is personally known to me or who has produced
as identification.
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Notary Public, o
Signature o Notary:
Commission umber: (Seal) '
En 01/19/2011 I,
,.uuua,
LASHAHNAINGRAM
.o• pry. PJotary PuClic-State o.Florida .
µ; My comm.Eap rr•s Dec 20,2018
zN* /`F 'o Commission FF 177249
Assn.
National Not
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