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HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT _ Planning& Development Services - j Building&Code Regulation Division p 2300 Virginia Avenue © s Fort Pierce, FL 34982 772-462-2165 or 772-462-2172 Fax: 772-462-6443 ROOF INSPECTION AFFIDAVIT ocl 2,9 � t G�a90 ,Z�� Re. Permit# aSt LU e 1, 066 kc' , y licensed as a(n)Contractor*/Engineer/Architect Cie count (Please print name&circle license type) *FS468 Building Inspector *General,Building,Residential or Roofing Contractor or any individual certified under 468 F.s.to make such an inspection. On or about if ( 1 I did personally inspect the roof deck nailing (Date) i work at: 100 A,Vu-US(,Vj Qr;V?, (Job site address) i Based upon that examination I have determined the installation was done according to the current edition of the Florida Existing uilding Code Section 708 or the product approval submitted (whichever is o t striger>t -�' Clcc-1 :S Hob Signa ure and Seal License# i STATE OF FLORIDA COUNTY OF �t- t ll�l Sworn to and subscribed before me this by_: Q V y-,V)n —�day of 20 Who is personally know�e or who has produced I 21dentific Notary Public,state of Florida Signature of Notary: Commission Number: 4 ' ' (Seal) En �P ELIZABETH OLNO 6 r Notary Public-State of Florida _• :•_ Commission d7 FF 9247 99 My Comm.Expires Oct 5,2019 '• •i-"• Bonded through National Notary Assn.u