HomeMy WebLinkAboutRoof AffidavitRe: Permit# 1� U tv-
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
I, Z, �4G i k,rGc-k,6Aicensed as Contractor*/�,iE gineer/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 4 t Z�- / Zv 1 I , I did personally inspect the roof deck nailing
(Date)
work at: 2
C- cy I— I , it le
(Job site address)
-19 0C0C
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).
Signature and Seal
STATE OF FLORIDA
COUNTY OF Sk.
License #
Sworn to and subscribed before me this day of�y ��_ 20
by "1i~�, �� ��"k' Who is personally known to me has produced
as identification.
Notary Public, Stat "ff Florida DEANNA MARIE GIVENS
Signature of Notary: y w+,? J' btYCOMMISSION #GGd22023
!:
Commission Number. "PiRES: December 16, 2020
,: � .�E;: " Sanded 7hru P(�88�:CIic Undarwriiers
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