HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT'�OMtvmwtu
By
qt P_ idpk COITAN
Re: Permit # I S 0� OSZg
a( Contract */Engineer/Architect
typ *FS468 Building Inspector
19H INWA licensed as
(Please print name & circle license
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
*General, Building, Res7f((
oroofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about '�7 I did personally inspect the roof deck nailing
(Date)
work at: l 5Z (,T�� �. �"r �S �. 1214
(Job site address)
Based upon that examination I have determined the installation was done accdrding to the -current
edition of the Florida Existing Building Code Section 708 or the product approval submitted (whichever
is mo trigent .
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nature aA Qea
STATE OF FLORIDA
COUNTY OF '3arc1da
Sworn to and subscribed before me this V of f 20tt
by �3.nn '000f %C% Who ersonall no me or who has produced
as identification.
Notary Public, State of I ri
Signature of Notary -
Commission Number: (S I"� . ASHLEIGH SCHAAD
Notary Public - State of Florida
9A' Commission # FF 227860
En for �;
My Comm. Expires May 6, 2019
CU
License #