HomeMy WebLinkAboutRoof Affidavit Mar 0818 02;03a p 1
Planning&Development Services
_ - Building&Code Regulation Division z
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-21.65 or 772.462-2172 RECEIVED
Fax:772-462-6443
APR 0 4 2018
ROOF INSPECTION AFFIDAVIT PerSLuccie Countyent
St.Permitting
Re: Permit## 5LL. 4 ;Q,3-0 9i9
1,__ .licensed as a(n)Contra ctor*/Engineer/Arch itect
(Please print name&circle license type) *F5468 Building Inspector
*General,Building,ResWenrial ar Roofing Contractor or any individual certified under468 F.S.to make such an inspection.
On or aboutS ' r /i I did personally inspect the roof deck nailing
(Date)
work at: X01 �-5,Ln itG'd I'a-1.1 br.
(Job site address)
Based upon at examination I have determined the installation was done accordingto the current
edits of the Florida Existing Building Code Section 611 orthe product approval submitted(whichever is
ost stri
ature and Se License#
STATE OF FLORIDA ,
COUNTY OF
i
Sworn to and subscribed before me this day of 2{i�
by .� � - r'Yi:Jt'�+C,-4 Vtithgkx.pvrsonally known to me or who has produced
as identification.
Notary Public,State of Florida ,
Signature of Notary.
Commission Number. ' i�7 s'7-3 (Seal)
zn 01!19/2013.
i -
=oOYFue Notary Public State of Florida
Camtela Frantantod
9r' of My Commission FF 975783
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