HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
_ A Building&Code Regulation Division
® 2300 Virginia Avenue
® , Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# Ji L_' C) r S
I� MAURICIOORELLANA . licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *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 �l gl ! �" , I did personally inspect the roof deck nailing
(Date)
work at: 8288 SANDPINE CIR PORT SAINT LUCIE FL 34952
(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 708 or the product approval submitted (whichever
is most strigent).
CCC-1330623
Signature and Seal License#
STATE OF FLORIDA_] c 1
COUNTY OF u
S
Swor o and subscribed befAre me this _day of �<_I""_f0_0-
by t-%() "e t`"41`'\ . Who Is personally known to me or who has produced
as. entification.
Notary Public,State of 1 r d
Signature of Notary:
Commission Number: T- (Seal)..,......-._
'En
RFCE�QED S ,
EP191017
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