HomeMy WebLinkAboutRoof Inspection Affidavit >- - Pla nin &Development Services
I n g -
;Building&Code RWgulatio+. Division
:2300 Virginia:Avenue
i Fort Pierce,FL 349$2:
772462-2165 or 772=462-2172
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Fax:'772462-!'0
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ROOF INSPECTION/AFFIDAVIT APR.2 4 2019`
Pel"I7IIttl1T + I,Iiw1" (Tvllt
d � St. Lude, County, FL
Re- Permit# —__— -__..._
( licensed as a nKo ntractor /EngineerfArchitect '
( lease.print name E&circle,icense type *FS�4,68 Builiiing:lnspector
*General,Building,IAesi ntialor,riIgContractororanymdividuafcectifredunder 468FStomake such aninspect ion.
On or,about V 7' �, I did,personallyinspect the.roof deckle nailing
Work at: H910-3
Jl V Q I
(Job site address)
Based upon'that examination l have determined the installation was done,according to,the current
edition"of the;Fiorida Existing,Building Code Section"708 or`the prodact approval submitted(whichever
is most strigent).
Signature and Seal License#
STATE OF FLQQ��IDA
COUNTY OF
XLl,f
Q—
Sw n t an "bscribe before me'this r 1 day '� 2D�
Who is personally known to me or who-has produced
ri .e r`S r\kC— .as.identifcation.
Notary Public,Stat
Signature of Notary:
Commission Number
__ (Seal)
En
Comitassion E �l2T/2021
_ - Coirimiss(on Na.GG 81871