HomeMy WebLinkAboutRoof affidavit • == —' -' J-` Planning &Development Services
Building&Code Regulation Division
} �. �� 2300 Virginia Avenue
Fort Pierce FL 34982
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-- _ 772-462-2165 or 772-462-2172
Fax: 772-462-6443
JUL 2 �mA
ROOF INSPECTION AFFIDAVIT Permitting DePartrnenr
Lucie Cour,*
Re: PermitL
licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle licen pe) *FS468 Building Inspector
'General,Building,Residential or Roofing Contractor or ony individual certified under 458 F.S.to make such on inspection.
On or about ,-� I did personally inspect the roof deck nailing
(Dat )
work at: 0� �(/L� CoQ 3 7 �S
(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 611 or the product approval submitted (whichever is
most strigent).
z6- CCCo�� 7
nature and Seal License#
11>19
STATE OF FLORIDA
COUNTY OF
Sworn_o an s bs 'bed fore me this It of ZO
by _ Who Is personally known to Re or who has produced
as identification.
Notary Public,State f Flo a
Signature of Nota
Commission Numbf !4�o5 t q (Seal)
En 01/19/2011
JUSTIN DAVID CONE
Nowy Publk-State of Florida
Commission M GG 19W9
My Comm.Expires Mar 14,2022
Wndtd Ihrough National Notary Assn.