HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building& Code Regulation Division
2300 Virginia Avenue
o I Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# l _ 0 i✓f
l� MAURICIO ORELLANA , 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 I / 1 $l 1 _ , I did personally inspect the roof deck nailing
(Date)
work at: 8221 MAIDENCANE PL 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).
I ,— Vic.: & - 133 o
Signature and Seal License#
STATE OF FLORIDA _
COUNTY OF 5T
Sworn to and subscribed before me.this day of 20kA- -
by S.� Who is personally known to me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary: p+%�;,, PAULETTE BLAIR-ALEXANDER
Commission Number: Notary Public-State of Florida
commission#FF 995699
En }','fo��Yd:A,, My Comm.Expires Sep 6,2020
NOV 13 2017