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HomeMy WebLinkAboutroof affidavit Planning& Development Services x,, � �� R v Building&Code Regulation Division 2300 Virginia Avenue * Fort Pierce, FL 34982 -x 772-462-2165 or 772-462-2172 Fax: 772-462-6443 ROOF INSPECTION AFFIDAVIT Re: Permit# /G �' e-- � �l � , licensed as a n Contractor*/En ineer/Architect (Please print name&circle license type) *FS468 Building Inspector *General,Building,Resident I or Roofing Contractor r any Individual certified under 468 F.&to make such an inspection. On or about r© _J,d ' 1 did personally inspect the roof deck nailing (Date) work at: 't"4w�a�f /t/� 1)d",- G'v ✓? C f (Job site address) Based upon that exa ' atia"I have ete mine installation was done according to the current edition of the F a E5�isting Building; de on'611 or the product approval submitted (whichever is most strig ' rcc 131a qq A? u e a S r License# STATE OF FL RI ,� COUNTY OF ��` Svi(,or to and sub ribed befcirg me this 2B.gj bv�\� {� 1�1a WV%h ' ersonally known to me who has produced `<sli 2on. Notary Public Signat Commission Number. (Seal) En 01/19/2011 —" *o• "°u; BRANDI MURCHISON MY COMMISSION#EE863426 d EXPIRES January 08.2017' 10407%ii&0153 FloddaNdtaryServiae'cdm