HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-216S or772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT $t <u ByN�D
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Re: Permit # I fl2 OHT-q
1,5TEwo Casfoalicensed as a(n)Contractor*/Enginee r/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 I — '�l (q I did personally inspect the roof deck nailing
(Date)
workat: '9&03 l.AVZLAtJD -43LUD
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Flo ' Exi uiiding Code Section 708 or the product approval submitted (whichever
is most str' ).
cccoS5-5--)3 a/ Io7-92
Signature and Seal License #
STATE OF FLOR_IQA^ ,
COUNNOF
Sworn to and subscribed _ T,b-^e�f^or_, .e me this day of 20
by 4xn.�- AM30A a. Who is personally known o me or who has produced
,. as identification.
Notary Public, St a ��, �, t� ,�i�,,� �
Signature of
Commission Nur�berl (Seal)
En Il�SFWfI'IAMf>ytAMFRANMING
171y1'AMMISBIONiiG:i2i6060
'��1 F�V'IRESDecembor20.2022
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