HomeMy WebLinkAboutRoof Affidavit Planning& Development Services
f Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
JUL 0:6
ROOF INSPECTION AFFIDAVIT ue St..LLucie�n�t
Re: Permit#s5z C oz-/- O(3
¢y r
I, 4,tA s/-4o, Icensed as a(n)Contractor*/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 -7� 3-1 7 , I did personally inspect the roof deck nailing
(Date)
work at: ?Zf3 -7 /,p c 11yc/ctie-- C7L
(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
CSC 00-
gnature and Seal License#
STATE OF FLO IDA /
COUNTY OF 771c-e Try — -
Swam t and subscri ed before me this 3 day of Ti
byWho is personally known to me or who has produced
i as identification.
Notary Public,State of Flori
Signature of Notary: z�
Commission Number: (Seal)
En
;;;.P''•.. RICKY CARL COCHRAN
? f, Notary Public-State of Fkft�
•= Commission#GG 172136
r Ex ire
My Cumm.
"•.A!�.�c`p�?:• P s Apr 26,2022
BMW thrum1h Nrlioia!Notary Asn.