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
Re: Permit #
I, 46(N2W Ycw?—, licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
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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 0170110 1 did personally inspect the roof deck nailing
(D te)
work at: (1?/ 0 L &l ?) A
(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
is mo trigent).
Signature and Seal
STATE OF FLORIDA
COUNTY OF
ee,-_ i�;z 8737
License #
Swo to d subscribed Before me this day of 20_Z�-
b MWho is personally known to me or who has produced
as identification.
Notar Public, State of Florida
Signature of Notary:
Commission Number: ( al)
En
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AUDREY B. HUMPHREY
MY COMMISSION # FF 174772
EXPIRES: March 6. ?01Q
ThpiNotary Publ'c '"