HomeMy WebLinkAboutRoof inspection Affidavit 2018/MAR/21/WED 08:56 FAX No, P, 001
Jd _ Planning&Development Services
Building&Code Regulation Division
2800 Virginia Avenue
Fort Pierce, Fl,84982
-462-2165 or 772-462-2172
Fax: 772-462-6443 RECEIVEID
ED
ROOF INSPECTION AFFIDAVIT [Permitting
AR
21 2018
J Department
Re: Permit# °�03'0��� ie Count F
Yr L
licensed as a(n Contracto */Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential ar Roofing Contractor or any individual certlfled under 468 FS to make such an inspectlon.
On or about f� I did personally inspect the roof deck nailing
(Date)
workat: ILIF e—),() Qin
Dr.
(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).
0a
Signature and Seal License#
STATE OF FLO A
COUNTY OF L�
Sworn t and.sub bed e-ffo}}e. e this day of 2016,
by � J Wh rsonally known a or who has produced
as i
Notary Public, tate of Flori
Signature of to
Commission Numbe . JA►NINE SCAPICCMIO
MY COMMISSION#GG040900
` EXPIRES Octobar 23,2020