HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
So
Building&Code Regulation Division
2300 Virginia Avenue
COUNTY
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 1708-0040
l� Jesus Jimenez , 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 /�'/ 1`7 , 1 r',' personally inspect the roof deck nailing
(Date)
work at: 3604 Sleep Hollow Lane
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Co--i Section 708 or the product approval submitted (whichever
isrigen,).
CCC 1329998
Signature#d Seal License#
STATE OF FLORIDA
COUNTYOF Palm Beach
Sworn to and subscribed before me this 20 day of 5EP1-EM f5EP— 201'7
by Jesus Jimenez . Who is personally known.to me or who has produced
as identification.
Notary Public,State
Signature of Notary: P A P
Commission Numbe miv CoMrvussloN 44070W9 (Seal)
• ''••.!Aov�oP:, EXPIRES Januaryt3.2018
En (407)308 0153 Flordallotaryservice.com