HomeMy WebLinkAboutRoof Inspection Affidavit 1212612017 07:40 (FAX) P.0011002
_ Planning& Development Services
_ 1 Building&Code Regulation Division
2300 Virginia Avenue
I
Fort Pierce, FL 34982
Mill 772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 1^111-06W
I, Rt1GAUO W`lF . licensed as a(n)Contractor*/Enginee r/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,aullding,Residential or Roofing Contractor or any Individual cerdtled under 468 F.S.to make such an Inspection.
On or about 141%lid iq . I did personally inspect the roof deck nailing
(Date)
work at: 10-401 MA 0i- UA%4 '54
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),
Mat nd Seal License#
STATE OF FLORIDA
COUNTY OF
®�C
Sworn to and subscribed before me this �� day of N 2 6 2V1, 2017
by i d .0 . Who Is personally known to me or who has produced
as identification.
Notary Public,State of Flor�
Signature of Notary:
Commission Number: (Seal)
Theress Anne Fasano
E" NOTARY PUBLIC
STATE OF FLORIDA
COMM#GG128278
Expires 7/19/2021