HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
., _ r � _ Building&Code Regulation Division
COUNTY 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
licensed as (n)Contractor* Engineer/Architect
(Please print name&circle license typ ) *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 1f -(��p , I did personally inspect the roof deck nailing
(Date)
work at: 10V fftc1 ckJ Zyg�-
(Job site address)
Based upon that a mination I have determined the installation was done according to the current
edition of the ri a Existing Building Code Section 611 or the product approval submitted (whichever is
most stri ).
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Signature and Seal License#
STATE OF FLORIDA
COU NTY O F SPr•VX)--N'Q
Sworn to and subscribed before me this \� day of t�J CJ 20%
by 4*v.'4 Qv.Cgsion-1 3AI Who is personally known to me or who has produced
F D L as identification.
Notary Public,Stat f Florida
Signature of Notary
Commission Number: MARIEGIVENS
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aA' ': MY COMMISSIOM G 16 2020
En 01/19/2011 ;►?
EXPIRES:tie rs
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