HomeMy WebLinkAboutROOF - FIBERGLASS SHINGLE 01/05/2018 09:46 A I I Area Roofing (FAX)77246466O0 P.001/001
Planning& 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#
I,Ck-'Os'l !i +fi aJ%censed as 04 r_acto */Engineer/Architect
(Please print name&circle license type) *F5468 Building Inspector
*General,Building Residentlot or Roofing Contractor or any individual certJfied under 468 AS,to make such on inspection.
On or about 1 -5- 19 I did personally inspect the roof deck nailing
(Date)
work a4: 9'rgb3 3 1 C,CA 4,0,1 hr - Free
(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 mo gent).
IfZ17 aC f 5Q 171-7
Signature and Seal License#
STATE OF FLORID
COUNTY OF 5LAk-QA-e
Sworn to and subscri�d before me this_ day of (L L O 20
by. IP i Cl�ar�(.�. all k own to me oMvho has produced eMPa% FAITH MASON
as identification. *` * MY COMMISSION 400003939
y WIRES;June 20,2020
Notary Public,State FI r "-°re°
Oe0M1Q1d¶"`� '� eirvki
Signature of Notary:
Commission Number: (Seal)
En
1