HomeMy WebLinkAboutRoof Affidavit Planning& Development Services
- _ Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 1904-0028
I,Larry Neese licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*Genera;Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about 4/11/19 1 did personally inspect the roof deck nailing
(Date)
work at: 5114 Palmetto Dr. Fort Pierce
(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 ent).
CCC 1330608
Signatu d Seal License#
STATE OF FLORIDA
COUNTY OF `2'r.
Sworn to and subscribed before me this 11 th day of_ April 20 9
by Who is personally known to me or who has produced
as identification.
Notary Public,state o to id
Signature of Notary:
Commission Number. HEATHER RING
2. WYCOA4M[SSIOIV N FF140529
En 01/19/2011 « FXPIRM.Jnly 10,2020