HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITE0
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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 # '1 S d-7 ~v v `
1 �s
I, _M —" c—,V0--( 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 / ?S I did personally inspect the roof deck nailing
(Date) 11
(�
work at: '� (� in M�� ►J__��—
(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
ism s igent).
Signature and Seal
STATE OF FLORIDA
COUNTY OF 54-- L u C.il!
a --�) I S
License
Sworn to and subscribed before me this '? day of /T7/Ar— 20_Zt
by 1)7LC fj43g= &,1111i /kv,7. . Who is personally known to me or who has produced
li ! as identification.
Notary Public, State of Flori a
Signature of Notary:
Commission Number: (Sean)
En II
Ste e o rF da URFORO
MY ry?mission # -Notary Aubl,
Febr»ua y-don 02 rey