HomeMy WebLinkAboutRoof Affidavit 01/30/2019 08:52 A I I Area Roofing (t AX)//24b4bbUU r.UU I/UU t
Planning & Development Services
' Building&Code Regulation Division
® 2300 Virginia Avenue
a a Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
RQ_F_INSPECTION AFFIDAVIT
Re: Permit#
I, 11cqn§gd as n}�ontracto /Englneer/Architect
(Please print name&circle license type MFS468 Building Inspector
'General,Building,Residential or Hoofing Contractor or any individual certified under468 F.S.to make such an Inspection.
On or about >/ �+���� I did personally inspect the roof deck naillna
(Date)
work at: gQY-7
(Job site address)
Based u that examinatio 1 have determined the installation was done according to the current
editlo the FI id a Exist, Bui ing de Section 708 or the product approval submitted (whichever
is m tr,gen
Signature and>ol License#
STATE OF FLORI A
COUNTY OF "�
Sworn to and subs ibed before me this 30 day of �J a.I -U-8L!"1 ZO,9,
by a4d= aiC Who Is personalkknownto me or who has produced
as Identstion;
Notary P"I" -a of rida
,r: (Seal)
Y a FAITH MASON
„ * MY COW11SSION It W 003839
" EXPIRES:dune 2D,2020
�'�OF PIPt 80mdW TAN Budges Notary a&rv1W