HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT20181'� 11-13 09: 52 M7rl? Roofing Inc. 17728789051 >> "'' j626443
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Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
o Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # 61- 0 V6
1, licensed as'a{CContracto/ ngineer/Architect
(Please print name & circle license typ*FS468 Building Inspector
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'"General, Building, Residential or Roofing Contractor or any Individual certified under 468 F.S. to make such on Inspection,
On or about 11 12 1 did personally inspect the roof deck nailing
( ate)
work at: 31 LZOA 44)) ArEW� ? SL F43q9S2.
(job site address)
Based upon that examination I
edition of the Flo ' xlsti
is most st* nt).
ature a
STATE OF FLOR DA
COUNTYOF_ UC l
ined the installation was done according to the current
Section 708 or the product approval submitted (whichever
C66 /33/20 7
License # ,
Sworn to and subscribed before rne _ this � y-of KjoV P M- V7r 20LL
ersohby)1Wois ny known to rwhohasprpduced
as ldentificatio
Notary Public, State f_QI rlda `
Signature of Notary:
Commission Number: Q (Seal)
En
CHRISTINA K. RAWLINGS '
a Notary public :'State 01.40rida
�. Commission,# FF 973B77
l� d;¢r My CommeExpires. Mar 22. 2020