HomeMy WebLinkAboutRoof Affidavit Planning& 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# 1803-0603
I, Jamie Cisco . 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 FS.to make such an inspection.
On or about 4/11/18 1 did personally inspect the roof deck nailing
(Date)
work at: 16 Nettles Blvd Jensen Beach FL
(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 611 or the product approval submitted (whichever is
most strigent).
CCC1327796
'signature and Seal License#
STATE OF FLORIDA
COUNTY OF Martin
Sworn to and subscribed before me this 11th day of April 20-L8
by Jamie Cisco Who is personally known to me or who has produced
as identification.
Notary Public,State of Florida °6�� Notary Public State of Florida
Marilyn Kluegel
Signature of Notary: QA&A4 My Commission FF 230179
a
Commission Number: Expires 08/2812019
En 01/19/2011