HomeMy WebLinkAboutRoof Inspection Affidavit Feb 0718 07:10p Martha Black 772-569-4781 p.1
Planning&Development Services
Building&Cade Regulation Division
2300 Virginia Avenue
COUNT Fort Pierce, F!34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
I, YNdAcensed as ahontractor Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or R000fing�Contractor or any individual certified under 468 F.&to make such an inspection.
On or about ai�, , 1 tT(i,1 , I did personally inspect the roof deck nailing
(Date)
work at: 5-700 Pal-eo Phos Cly LIL
(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).
C C C,0 3Z4Q a
Signature and Seal license#
STATE OF FLOMA
COUNTY OF 144 Ing r ' ^
Sworn to and subscr' ed fore me this _day of� �r"/ 201 /
S,
byLcl�zk Who is personally known to me or who has produced
as identification.
Notary Public,State of
Signature of Notary: . KEVIN NEU9AUER
Commission Number. ? My C01AMtsslr)+:#GG x':67686
EXPI=2ES:J3a�2ry:>0,2021
Doped Mru Nina;;Pubk-Undb-ffM r
En
FEB 2018