HomeMy WebLinkAboutRoof Affidavit 3733 Pendula CirPlanning & Development Services
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# 1711-0511
rnAURicio 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 11/22/2017 1 did personally inspect the roof deck nailing
(Date)
work at: 3733 PENDULA CIR PORT SAINT LUCIE Fl-
(job
L
(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).
1��
Signature and Seal
cc - 133 0(o2 3
License #
STATE OF FLORID)
COUNTY OF , /
Sworn to and subscribed before me this day of ` �V 20
by �(a0 p'2�.tty�li� Who is personally known tome or who has produced
CJ. )— -C as
identification.
Notary Public, State of Florida
Signature of Notary: s..
Commission Number: Q7 j� 1 1 (Self