HomeMy WebLinkAboutROOF - FIBERGLASS SHINGLE 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 :RECE'VED
2 5 2018
ROOF INSPECTION AFFIDAVIT ST, Lunt ,
Y Pef`1�Ittil`i�.
Re: Permit#
licensed as a )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 Ci ZS i I did personally inspect the roof deck nailing
(Date)
work at: �'1�b7
(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'�C 1L3 �
Sig ature and Seal License#
STATE OF FLORIDA /
COUNTYOF •�.Oc�C
t
Sworn to and subscribed before me this WS day of 20 K
by�"^a t�va kay 5 Who is personally known t ;�ti— hack
as identification. avPL,;•.,
ata...,, DLANNA MARIE GIVENS
MY COMMISSION#GG 022023
Notary Public,Stat f Florida ;,e: o EXPIRES:December 16,2020
�F F�„ Bonded lhru Notary Public Urdenvriters
Signature of Notary:
Commission Number: 1 (Seal)
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