HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT05/27/2019 08:43A1I Area Roofing
724646600 P,001/001
Planning & Development Services
Building & Code Regulation Division SCANNED
2300 Virginia Avenue ' BY
Fort Pierce, FL 34982 S$. Lucie County
772-462-2165 or772-462-2172
Fax.-772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit 0
I, &rXE licensed as a(n)Contractor'/Engineer/Architect
(Please print name & circle license type) •FS468 Building Inspector
General, Buildinp, Resldentiol or Roofing Contractor or any individual cerdjfed under 46B F.S. to make such an inspection.
On or about & — / -/ 9 . I did personally inspect the roof deck nailing
(Date) r /�1I
work at: o� 04 �A4JDK�aVt? b%
(Jab site address)
Based up that xam5,isn
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edition the F rida tistrig t)./
Signature Sell
STATE OF FLORIDA
COUNTY OF 4}
ttermined the installation was done according to the current
Code Section 705 or the product approval submitted (whichever
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License it
Sworn to and subscribed before me this � day of --J 9JLrLV - 20_d
by Ro Ar r. z C-gi\ W4 )yho is personally known tome d=ed
as identification.
Notary Public, State of Florid y FAInfMagON
Signature of Notary, y. % di1- Wy00 MUMo0003998
Commission Number: (seal) �9e EXP02E9MON9A 0
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