HomeMy WebLinkAboutRoof Affidavit To; 4626443 From; 7723907111 4-04-18 10;'43am p. 1 of 1
Planning& DevelopMent Services
Building&Code Regulation Division
COUNT
i 2300 Virginia Avenue
b Fort Pierce, FL 34982
772-462-2165 or 772-462-2172 RECEIVED
Fax: 772-462-6443
APR 014 7018
inDeparten"
ROOF INSPECTION AFFIDAVIT PermiS .Lucie count
t ,
Re: Permit# I g0 n qa—1
1, a licensed as a(n) ntractor Engineer/Architect
(Please pr)nt ame& ircle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certlfled under 468 F.5,to make such an Inspection.
On or about q17-11 S 1 did personally inspect the roof deck nailing
( at ) —
work at:_ Q4Ni u F
(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
ism trigent).
ignatur a d seal License#
STATE OF FLORID
COUNTY OF
Sworn to and suliscri ed before me this day orAorUzo i
b 7,11M Who Is per,o Ily kno to me or who has produced
as identificati
Notary Public,state of to d
Signature of Notary:
Commission Number: (Seal)
En
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