HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITas
is
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 SCANNED
Permit #
licensed as (n)Contracto /Engineer/Architect
ease print n e &circle license ty *FS468 Building Inspector
feral, Building, Residential or Roofi g Contractor or any individual certified under 468 F.S. to make such an inspection.
or about `�� ke I did personally inspect the roof deck nailing
ate)
'k at: Z Z
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(Job site address)
sed upon that examination I have determined the installation was done according to the current
ition of the Florida Existing Building Code Section 708 or the product approval submitted (whichever
host strigent).
Signature and Seal `-1 License #
JE OF FLORIDA r
UNTY OF Y11V,
oo and subscribed before me this day of 20
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as identification.
ry Public, State of Florid
ture of Notary:
-nission Number: (Seal)
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AUDRE`I B. HUMPHREY
COMMISSIMOa�h 6 1192
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