HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
Building & Code Regulation Division
® u. 2300 Virginia Avenue
F 1L P Fort Pierce, FL 34982
-- -- — - 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT =RECEIVEDRe: Permit# 1811-0363
l� John Morales , licensed as a( Contractor /Engineer/Architect
(Please print name&circle 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 31a( (C , I did personally inspect the roof deck nailing
(Date)
work at: 2224 53 st
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the rid xisting Building Code Section 708 or the product approval submitted (whichever
is most strig
CCC1327753
Sig ature and Se License#
STATE OF FLORIDA
COUNTY OFC`��1C�\�
Sworn to and subscribed before me this 31 day of May 20 1
by John Morales Who is personally known to me or who has produced
Driver license as identification.
Notary Public,State of Florida _
Signature of Notary:
Commission Number: is c'3"SO �$� (Seal)
En IF
0AT� Notary public state of Florida
Denise Robbins
My
Commission GG 280183
Exvires 11/28/2022