HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT 11 41-111 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# 1903-0644
l� Jesus Medina , licensed as aril 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 05/28/19 I did personally inspect the roof deck nailing
(Date)
work at: 14520 Orange Ave, Fort Pierce, FL
(lob 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
is most strigent).
CBC 1253459
Sign tore and eal .License#
STATE OF FLORIDA i
COUNTY OF
Sworn to and subscribed,before me this 2,.� day of �yY 1C. 20
by "CGSvS, ec3►1` � Who is personally known to me or who has produced
YL. CsYi4exS Uc.e,nSG as identification_
Notary Public,State of Florida (/1 ,.;.,RV's SAa4CAREY
Signature of Notary: �✓. _ �h�:a`' �4' YU�YCiiC-);dTCi
i• n'< �4 nm.55 oR 3 K9
Commission Number: (Seal)
(Seal) MyComrn:Exp0.;0ct2Z2e19
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