HomeMy WebLinkAboutRoof affidavit Planning& Development Services
- _ - Building&Code Regulation Division RE iMD
2300 Virginia Avenue
Fort Pierce FL 34982 APR 0 4 ?w
772-462-2165 or 772-462-2172 P'nn"ny Dep ,rtMent
Fax: 772-462-6443 St.Lamle county
ROOF INSPECTION AFFIDAVIT
Re: Permit# 180 I' O58 3
I,aE Qee, licensed as a(n)Contractor*/Engineer/Architect
(Pleas 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 on inspection.
On or about LI-2-1 & , I did personally inspect the roof deck nailing
(Date))
work at: .2-23 9i Vcif wall. 11 TC>'fk
(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). 1
ccc
Signatur and Seal License#
STATE OF FLORIDA
COUNTY OF Hr SnY\
Sworn to and subscribed before me this 2- day of 11f 1 20A
byl6c, E Rbe. Who is personally known to me or who has produced
J as identification.
Notary Public,State of Flor'
Signature of Notary:
Commission Number: 5ealt REBECCA RESTIFO
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En "> '6' FXPIRES.4100 17.2021