HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-216S or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
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Re: (Permit # rib "66 7 b
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I, J 2licensed as a(n)Lontra3ctor*'
Engineer/Architect
(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 �) s/c 8 , I did personally inspect the roof deck nailing
(Date)
work at: 1620 S17 sc�\ GZ N-C
i
(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
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Signature and Seal License #
STATE OF FLORIDA
COUNTY OF St. L�,ICI C
i
Sworn to and subscribed beforg me this % S day of 20j_j
by Who is personally known to me or who has produced
as identification.
Notary Public, State lorida
Signature of Notary:
Commission Number: G T2C4 (Seal)
En
4o� v °� Notary Public State oP Florida
Deena M Sabella
` +• o� W Commission GO 22910o
p, M1o� Expires 06/14/2022