HomeMy WebLinkAboutRoof Affidavit R�C•�n'Fo
Planning& Development Servicesp, �N27
Building&Code Regulation Divisiort '��ngo 4
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# f j��
I, 7! , { x'40[:+A li�ensed as a(n)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 inspect,on.
On or about a I did personally inspect the roof deck nailing.
(Date)
work at:lo l J��
(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 708 or the product approval submitted(whichever
ispclst strigent).
ignature and Seal License#
STATE OF FLOR�
COUNTY OF _ ,LJi-n +�
Sw9rn to and subscribed before me this 2--7 day of~To e 20.j
Who is personally known to me or who has produced
ti as identification.
Daniel Rech
Notary Public,State of Florida ��• ,./
`1 NOTARY PUBLIC
S,gnature of Notary: Gz' � - STATE OF FLORIDA
Co--:sston Number`-6 (Seal) Corn r►GG265955
Excites 10126/2'22