HomeMy WebLinkAboutRoof Inspection Affidavit Nov 30 1711:22a GEB`` 56185rA9n4 p.1
Planning& Development Services
Building& Code Regulation Division
2300 Virginia Avenue
ti Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 17
Jesus Jimenez licensed as a( )Contract */Engineer/Architect
(Please print name&circle license type *FS468 Building Inspector
*6enerai,Building,Residential orR fin��pntractor or any individual cerrfed under 468 FS.to make such an inspection.
I ✓ _l
On or about - " I did personally inspect the roof deck nailing
(Date)
work at: 12455 Grumman Way
(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
ism strigent).
i
CCC 1329998
t
Signatur nd Seal License#
STATE OF FLORIDA
COUNTY OF Palm Beach
, a;��,
Sworn to and subscribed before me this day of _..,..-_ 20^,
by Jesus Jimenez Who is personally known to me or who has produced
as identification.
i
Notary Public,State of Fon-
Signature of Notary:- `%ir=k '-s"
>- _
Commission Number: , tile' J _ (Seal)
�o �y Ek 1 e . ,^Cte
En (40 7)39"133 Flo rkla'Jutan'Scry'Ic°-COIL,
RECEIVED
NOV 3 0 2011
Permitting Department
St. Lucie County, FL