HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building& Code Regulation Division
2300 Virginia Avenue
� yF
Fort Pierce, FL 34982
--- 772-462-216S or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 4� 1 o ~ b40
iMAURICIOORELLANA , 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 /04M// , I did personally inspect the roof deck nailing;
(Date.)
work at: 8243 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 _
COUNTY OF �\-
Sworn to and subscribed beforg me thisday of 0 L t D�� 20J,
by r,; �ho is personally known tome or who has produced
o—o vias Identification.
Notary Public,State of Florida
Signature-of Notary: ;ot;r`�Pu; , PAULETTE BLAIR-ALEXANDER
Commission Number: �, Notary Public Stata of Florida
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W Commission B FF 995699En �,e� My Comm.Expires Sep 6,2020
OCT 3 0 2017