HomeMy WebLinkAboutRoof Affidavit Planning & Development Services L9
_ Building & Code Regulation Division
• 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
RECEIVED
ROOF INSPECTION AFFIDAVIT NOV 0 6 9018
Permitting DepartmMt
§t:Wile county
Re: Permit# I il?i`ib — 03 7
1, UAJ LJ I licensed as a(ri)Contractor*%Engineer/Architect
(Please print na a&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 10)LZ/l , I did personally inspect the roof deck nailing
(Date)
work at: 3103 AAer�,,on c Er Pvetce 3Hq q
(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
I most 4i t). l
CU- M)17V
Signature and S al License #
STATE OF FLORIDA
COUNTY OF Sof' LL-17 �u
Sworn to and subscribed before me this day of NO O 20Jb
by 1 lJ l!nd Who is personally known to me or who has produced
DLA as identification.
Notary Public,State of Floria
Signature of Notary:
Commission Number: (Seal)
EnMile _—
H+fi UpFORD
Stets o4 Plorlds°Notary Public
Commission a GG 183211
~" My Commission Expires
�ivylell\tj`y February x8, Ex