HomeMy WebLinkAboutRoof Inpsection Affidavit • •
Planning& Development Services •
• Building&Code Regulation Division
2300Virginia Avenue REcEivED
COUNTY FL 34982 NOV
FLORID A Fort Pierce, 51018
772-462-2165 or 772-462-2172 Permji
Fax: 772-462-6443 sk n ovLuc a un ent
. ROOF INSPECTION AFFIDAVIT
Re: Permit#
/ 1.O 06:50
I?Gsktuk_ 'veeillicensed 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 J! go i F , I did personally inspect the roof deck nailing
• (D te) J , G
work at: o ' ( 2-a- e-e1/4-16� 7-b Rue t Fe 3C7"fl 7 d
• . site •ddress) '
Based upon that examiti• have deter'. fined the installation was done according to the current
edition of the F , a Exist uilding •de Section 708 or the product approval submitted (whiche ler
is most s ':ent).
-iAUK CCG 135 L —o400111111111.1"
ignat r- -nd eal License#
STATE OF F1.0DA
COUNTY OF LAC 1—e
Sworn to and subscribed before me this day of P4 v P,-fb.€I' 20
by SoShcM. SC°nr0ed-er". . Who is personally known to me or who has produced
asidentification.
Notary Public,Sta - f rida 2/.
Signature of Nota %. I A • •
/
Commission Number: I 40 `Pi 7 (Seal)
En
o�►s++Pi%m'•, USA MARIE MONTELEONE
'? `c� NotaryPubiic-State of Honda
_� Ari Commission=GG 190497
of My Comm.Expires Feb 27.2022
Bonded through National Notary Assn:
•