HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT01/28/2019 08;58AII Area Roofing
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VF X)7724646600 P, 001/001
Planning & Development Services A 1P
Building & Code Regulation Division s4 ? �Fo
2300 Virginia Avenue `, 0 �"AI
Fort Pierce, FL 34982 00A D
772.462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION,AFFFIDAVIT sC
Re: Permit #��;�-�_5►, CIO4'�
I, C . a 9}llggns d as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
General, Building, Residential or Roofing Contractor or any Individual cerN/!ed under 468 F.B. to make such on Inspection.
On or about l — al._i9 , I did personally Inspect the roofdeck nailing
(Date)
work at:
(Job site address)
Based up that examination I have determined the Installation was done according to the current
editionAthe Fl%lda Exlsting)JOIlding Cocje Section 708 or the product approval submitted (whichever
is
License #
STATE OF FLORIDA
COUNTY OF C Q
Swum to and subscribed before me this..r98 day of T0X QLL41.i 209
by �„iGif 'S Who iSpersonally known —tome oorvi o_hasproduced
as identification.
Notary State of Florida . /
Signaturere of of N ?
otar �j f�a
Commission Number: (seal)
En
PAURAMON
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