HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT - DUPLICATE0
Ml Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
1 Fax: 772-462-6443
1 OF INSPECTION AFFIDAVIT RECEIVE®
NOV 19 2018
sT. 6ueie Goyniys rormit ln�
Re: Pffermit//#
yz
I,��I�-iZ(vJ �i'y1 r.Wl/ icensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspgctor
*General, Building, Residential or R ofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about / 1 I did personally inspect the roof deck nailing
(ate)
work at:
(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 most strigent).
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF S)' •1-VC�0-
Sworn to and subscribed before me this �� day of lU ty " X1
by Cw1no►1\re•S 5++� 'r h 5�' .. Who is personally known to me or who has produced
e%. D L as identification.
Notary Public, State—d Qorida
Signature of Notary:
Commission Number: W—MC'l'ry Seal
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WEMY COMMMION # G(3 022023
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