HomeMy WebLinkAboutRoof Inspection Affidavit Feb 16 2018 02;23PM HP Fax page. 1
_ Planning&Development Services
-��'' W ;f '--m Building&Code Regulation Division
2300 Virginia Avenue
* Fort Pierce, FL 34982
T ih 772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
FEB 16 2018
Re: Permit#. (fib( -b3�
1,Gwuef:i,j3qc1.m&Wtcensed 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 c2l l4 SI! .I did personally inspect the roof deck nailing
(Date)
work at: l I ZA VVLArUj 2D a jm , 7?
(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):
Signature and Seal License#
STATE OFFLO IDA l
COUNTY OF 41
Swor and subsc ' edbw, foremehis �(' day of YE 4 20(
by ['IS ui`A�/QI��. Who ijjersona I I ow to oll who has produced
as identification.
Notary Public,State + Notary Public
State of Flonda
Signature of Notary: � Kelly Zaso
W
My commissmn GG 179975
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or Expires 0112812022
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