HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
N440 1j Building&Code Regulation Division
2300 Virginia Avenue
# s Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT =RECEIVEDJ ,/�-Re: Permit# I oc ^ p3`t'� _
�Gs)Luc . �lwejdyicensecl as a( Contractor* ngineer/Architect
(Please print name&circle Iicense 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 3 blozo f I did personally inspect the roof deck nailing
((Date)
work at:,, A/ it 9
site ddress)
Based upon that examin have deter fined the installation was done according to the current
edition of the F a Existi wilding de Section 748 or the product approval submitted(whichever
is most s ' ent).
ignat r And gal License#
STATE OF F LON DA
COUNTY OF , 1--e
Sworn to and subscribed before me this ' _day of�{:� ! 20111
Who is personally known tome or who has produced
as identification.
Notary Public,Sta frkia
Signature of Nota
Commission Number Q`?Q (Sea))
En
�vs+Pi •. LISA MARIEMO�
•�1 �; ONE
Notary Public-State of Florida
`s e` Commission=GG 190497
'>IoFFl My Comm.ExpiresSeb27.2022
Bonded through NatlonaI Notary Assn.