HomeMy WebLinkAboutRoof Inspection Affidavitr
Planning& Development Services
Building&Code Regulation Division
a�
2300 Virginia Avenue
o Fort Pierce, FL 34982
772-462-2165 or 772-462-2 :2RE CFax: 772-462-6443 EIV EJ)ROOF INSPECTION AFFIDAVIT SrCounty, p�rmit�ira
Re: Permit# 1805 -00,37
I
I, 12ohey-{ bl`l fcq licensed as a(n) ontractor /Engineer/Architect
(Please 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 an inspection.
On or about G / ( / 2 U ( O , I did personally inspect the roof deck nailing
(Date)
work at:
(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).
' � / CCc_ 133 ) 3tl8
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF .Ak dy'� /f
Sworn to and subscribed before me this 1 day of ,4t 20_d
by k� Lw+ICIA- Who is ersonall to me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: 4 (Seal)
En PCe
SALLY MEISNER !~
�i°'�y ;;=:State of Florida-Notary Public,
*= Commission #GG 192960
My Commission Expires
9 Mann os, zoz2 1.