HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & 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
SCANNE®
BY
Re: Per it#StC- / kUFs-03(0G 39.Ltj01eC®VjjtV
I, ���1- ��c�5, licensed as a ontrac /Engineer/Architect
(Please print name & circle license type *FS468 Building Insi
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*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about Zo% I did personally inspect the roof deck nailing
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work at: —7 foz—
(Job site address)
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Based upon that examinational have determined the installation was done according to the current
edition of he Florida Existing Building Code Section 708 or the product approval submitted (whichever
is most gent).
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Signature and Seal License #
STATE OF FLORIDA
COUNTY OF /CG(/
Swo to and subscribed before me this A(- day of 201
b of M . Who is personally known o me or who has produced
.-� • 11" . 0e , as identification.
Notary Public, State of Flor' a
Signature of Notary:
Commission Number: (Seal)
En
AUDREY B. HUMPHREY
_+: +: MY COMMISSION # FF 174772
;�•, EXPIRES: March 6, 2019
-it .,9. ���'. Bonded Thru Notary PublicUnderwrhers �