HomeMy WebLinkAboutRoof Inspsection Affidavit Planning& Development Services
a z Building&Code Regulation Division
COUNTY ` . 2300 Virginia Avenue
F -L 0 R 1 i] A= •- Fort Pierce, FL 34982
- 772-462-2165 or 772-462-2172
Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT Per2.
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Co4/it7ent
Re: Permit#1901-0179'
I, Jamie Cisco , licensed 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 January 14,2019 , I did personally inspect the roof deck nailing
(Date)
work at: 2812 Jefferson Pkwy,Ft Pierce,FL
(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 611 or the product approval submitted (whichever is
most strigent).
CCC1327796
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF Martin
Sworn to and subscribed before me this 14th day of January 2019
by Jamie Cisco . Who is personally known to me or who has produced
as identification.
owPo Notary Public State of Florida
Notary Public,State of Florida �/� :47: Marilyn Kluegel
Signature of Notary: Q,(.t�.� Mr Commission FF 230179
�- 4'or v Expires 06/28/2019.
Commission Number: (`-
En 01/19/2011