HomeMy WebLinkAboutRoof Inspection Affidavit From:Richard Newland Fax:(772)464-4529 To:Audrey Humphrey Fax: (772)462-1578 Page 2 of 2 1110212017 9:59 AM
Planning& Development Services
.j _ Building&Code Regulation Division
�. �. fi 2300 Virginia Avenue
Fort Pierce, FL 34982
c, 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 17 it) - M i 2,
licensed as a(t4 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 /a i-16 117 I did personally inspect the roof deck nailing
(Date)
workat: `13301 �6A= '13- nsr 4'K :jY irk P��;
T
(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).
Signature and Seal License#
STATE OF FLORIDA
COUNTYOF TnAi.t•n 'l iVitr
Sworn to and subscribed before me this s day of 20
by ;\`a �r�r �1�P r�r. Who is personally known to me or who has produced
j C. as identification.
Notary Public,State of Florida
Signature of Notary: ,,&A, , .
Commission Number: f15t;2c, (Seal).. CHRISTINAMARIERODRIGUES
*: MYCOMMISSION#Ga 162040
En s +�p- EXPIRES:October 19,2021
Bon08d 1'"Rotary PuDtk thWetvrrftere
r"Mcz-9V
NOY /2 2017