HomeMy WebLinkAboutRoof Inspection Affidavit • •
AIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Planning& Development Services
�, itt, Building& Code Regulation DivisionN� 2300 Virginia Avenue
COUF L. 0 R I D A -
Fort Pierce, FL 34982
, ; .„„..ay.,,.,; N �. ,,, 772-462-2165 or 772-462-2172
IWIIIIIIIIMIIIIIIIIIIIIIIIIIPP
Fax: 772-462-6443 tkece1l t
ROOF INSPECTION AFFIDAVIT peCst o9pcoyent
Re: Permit# 1 Q OIAv 061
I, &c ' Q(\ Li icensed as a(n)Contractor*/Engineer/Architect
(Please print name& rcle license 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 LA )2 uI1 t , I did personally inspect the roof deck nailing
(Date)
work at: 3005 Anc--e-rso,.-‘ bC• F% P;erc�..., ft.3`1S5.-
(Job site address)
Based upon that examination I have determined the installation was done according to the current
editi• of le Flo(d aExisting Building Code Section 708 or the product approval submitted (whichever
isrr
ost s i;ent). '
A (-cc( 331Ii0
Signature and Seiler License#
STATE OF FLOR L
COUNTY OF C 11{1
Swo( to rd subscribed bef re me this 7_6 day of April 2019,
by r ')(lino u), _ . Who is personally knownito me or who has produced
as identification.
Notary Public,State of Florida�}-y,
Signature of Notary: I� 1 � MO3 LA, ip�!c;:Pk? BRANDY MOORE
Commission Number: Cfpp 1:2 2B3 t._., ;,,- ,, Commission GG 102839
N- moo. Expires May 9,2021
En or Fro Bonded thru Budget Notary Services