HomeMy WebLinkAboutRoof Affidavit 01/17/2019 08:03 A I I Area Roofing (FAX)7724646600 P.001/001
Planning& Development Services
^.._..,_.. _J__T,. _:__._............... Building&Code Regulation Division
2300 Virginia Avenue
s Fort Pierce,FL 34982
772-462-2165 or 772-462-2172 44uno.D ajan7 •4s
Fax:772-462-6443 iUaw;-jedao 5ui:ptw.ad
6101 L I Ndf
ROOF INSPECTION AFFIDAVIT 03AI33ad
Re: Permit#_�$�a
I, j1 �� licensed as a(n /Engineer/Architecter/Architect
(Please print name&circle license type ntractor IF5468 Building Inspector
*Central,Building,Resldentidl or Roofing Contractor or ony individual certified under 468 F.S.to make such on Inspection.
On or about I did personally inspect the roof deck nailing
(Date)
work at: r7/b.� &U&Lx
(Job site address)
Based up that a mination I have determined the installation was done according to the current
edition the FI ida Existin ildi g C e Section 708 or the product approval submitted (whichever
is mo trigen ,
Signature and 5 License#
STATE OF FLORIDA
COUNTY OFI-e_
sworn toand subscr ed be ore me this day of Girl�f 20Lt
by_ n" �" _ ri s Who is,oerwnally known to me dYwho has produced
as Identification,
Notary Public,State of Florida
Signature of Notary: _
Commission Number: (Seal)
En
pum. PArrm WON
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My COMMISSION#GO 003939
EXPIRES:Jute 20,2020
,)F fT Bonded'r=Budget Notery fl&-&a