HomeMy WebLinkAboutRoof Inspection Affidavit Planning&Development Services
Building&Code Regulation Division
lCOUNTY 2300 Virginia Avenue
IF L + Fort Pierce,F!34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 1 ' �
l,:*Shuck- S �Yofc'1 Ecensed as a(n)Contra ctor*/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 i!- - 9019 I did personally inspect the roof deck nailing
/_(DDatte) /�work at' Cy� tt 01C,91to'soij lefCau+cQ Pk
�j�""7S��
site ddress)
Based upon that examin have deter ined the installation was done according to the current
edition of the F ' a Existi uilding de Section 708 or the product approval submitted (whichever
is7og
ent). GLO
ignat r nd eal License#
STATE OF FLO DA
COUNTY OF� C
Sworn to and subscribed before me this_ day of 1 cgrn 0
b5NA& S'C IYWCa- . who is personally known to me or who has produced
as Identification.
Notary Public,Stat Vfrida
Signature of Nota
Commission Number;;� 1 v 197 (Seal)
En
:S YAU l LISA MARIE MONTELEONE
Notary Public-State oiFJorkia
Commission 2 GG 190497
` ot cti? My Comm.ExPlres Feb 27.2072
Bonded through National Notary Assn,