HomeMy WebLinkAboutRoof Inspection Affidavit (2) Planning & Development Services
_ Building& Code Regulation Division
O 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462=2172
Fax: 772-462-6443
j ROOF INSPECTION AFFIDAVIT
j
Re.: Permit#
7 l{ licensed as a(n)Contractor*/Engin eer/Architect
(Please:print name ' c e e *FS468 Building Inspector
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*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about ''L'-eG SP MG . I.did personally inspect the roof deck nailing
(Date)
work at: S
i
(Job site address)
Based upon that.examination I have determined the installation was done according to the current
edition of;the Florida Existing Building Code Section 611 or the product approval submitted (whichever is
most s igent).
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C,C.G\,"2`f ig Z4—
Si nature.and Seal License#
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STATE OF FLORIDA
COUNTY OF
Sworn toand sub crib d pef re me this of P!',v .20
by A(f (� Who i ersonall nown-tome or who has produced
as idents ication.
Notary Public,State of orid
Signature bf Notary:
Commission Number: (Seal)
•, �'a,:. RO
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En 01/19/201 MyEZ
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B*nded tu' vember 18'20,,