HomeMy WebLinkAboutInspection Docs ,,M1t
Planning& Development Services
Building&Code Regulation Divisi
2300 Virginia Avenue RE:CEVED
a Fort Pierce, FL 34982 JUL,
2018772-462-2165 or 772-462-2172
Fax: 772-462-6443 �. LuCle iwpermitting
ROOF INSPECTION AFFIDAVIT
i
Re: Permit#
���,�,_,C' licensed as a( ontract / ngineer/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 'tTlal.\ , I did personally inspect the roof deck nailing
(Date)
work at:'3'Sn 3 I'h QA1k,1 U
(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).
c�
Signature and Seal License#
STATE OF FLOR
COUNTY OF 3t )
Swo n to and s ,cribed before me this (� dayof 20 ,
by-M�IN ,ByAnhrl Who is persor,�nown to rNe or who has produced
as identificatio .
Nota �Staterida
Signature of Notary:
N:
Commission Number: (Seal)
En
KAREN S. NIELSEN
z2W-01
ter e, State of Florida-Notary Public
Commission # GG 207484�, My Commission Expires
i�� June 12, 2022