HomeMy WebLinkAboutInspection DocsPlanning & 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, C'b4l3 1Cj4jeA-, , licensed 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 /, I did personally inspect the roof deck nailing
(Date)
work at: 73-� W� / I� G� '-C- ��-
(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 OF FLOQRIDA�/
COUNTY OF J i.I—Ve C�
Sworn to and subscribed before me this day of jJ+' 201SI
by %1 ✓1w1�1�s �fjL>s%�7Gn e Who is personally kn�Eo me or who has produced
as identification.
Notary Public, State of Flor O
Signature of Notary:
Commission Number: (Seal)
En ��a+►u MMKENNY
*
..•., Commission # GG 144499
Expkes September 19, 2021
�J9TFOF F4� W4edTtwu009ANOtuyBeyl-
i0