HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
Building&_Code Regulation.Division.
OT 2300 Virginia Avenue
o a _ Fort Pierce, FL 34982
-- - - 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
l� MAURICIOORELLLANA , licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*6eneral,Building,Residential or Roofing contractor of any individual certified under 468 F.S.to make such on inspection.
On or about ` W � , I did personally inspect the roof deck nailing
(Date)
work at: 6895 DICKINSON TERRACE PORT SAINT LUCIE FL 34952
(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).
AL�_W_B CCC71330623
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF 5ry 1'j
Sworn to and subscribed before me this day of 20J
by N ck�-G%.'3 0v(?114R0n . Who is personally known tome or who has produced
Ov •c, as-identification.
Notary Public,State of Flo 'd (I /�
Signature of Notary: ��ggy//lll///""" "'
Commission Number: 12 —1-" 2-a I ea n�ra
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