HomeMy WebLinkAboutRoof Affadavit 05/08/2018 08;30 A I I Area Roofing (FAX)7724646600 P.001/001
Planning& Development Services
• ..........:..,.,: RECEIVED
Building&Code Regulation Division
2300 Virginia Avenue MAY 0 a 7n1R
a n Fort Pierce,FL 34982 Permitting Departmep
77Z-462-ZI65 or 772-462-2172 St. Lucie Cdurn,
Fax:772-462-6443
RggF INSPECTION AFFIDAVIT
Re: Permit##
I, Q,dum) Gi46 .license as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building inspector
*General,Building,Residential or Roofing Contractor or any individual certo7ad under 46B F.S.td make such an Inspection,
on or about 1 I did personally inspect the roof deck nailing
(Date)
work at:lg 5e) gp lfl-c��. Ave �F+ . 3 y 9iya
(Job site address)
Based upA that examinatlon I ve determined the installation was done according to the current
editio the Flor a Existing fid g C e Section 708 or the product approval submitted (whichever
Is m s trigent
Signature and Seal License#
STATE OF FLORIDA
COUNTY of c b VC.i411
Swor to and subscr d befQre me this day of 1 I l 2Og
by Lt� sr+; �5 I known to a or who has produced
as identification.
Notary Public,State o i a ',
Signature of Notary:
Commission Number. (seal)
En
�pttW p� FA"MASON
* w MyOCMMit3SI0N#fippp3638
apipEiEa;Jona Zo,7p20
'�oF �attdrdYhnr @1l8Q(t Notary 6enAoea •