HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT Planning&Development:Services RECEIV50
, ". Building&-Code Regutation'Division
2300 Virginia Avenue JUL 17 2019
Fart Pierce,FL 34982
g 772-462 2165 or472-462-2172 sT. Ducie County, Permitting
t:ax;772-462-6443
ROOF INSPECTION AFFIDAVIT
j
�y
Re:r Permit# 1
1, Licensed as a(n)'Contractor*JFngineerJ,Rrchitect
( tease print name&circle.license type) *FS468 Building-inspector
*Generol,Building,Residential or Roo Ina t'ontroctor or any individual cerV ed under 468 F.S.to make such an fnspectlon.
Ory or about ;I did personally Inspect the roof deck nailing
work at:�5'�i�? TfQf' t'dlylf$
(job site address)
Based upon that examination I have determined the installation was done accordingto.the current
edition,of the Florida Existing Building Code Section 708 or the product approval submitted(whichever
is most strigent).
Signature and Seal' License
STATE,OF FLORIDA
COUNTY OF ,//
Sworn to a subs ribed befor m this, � - day of 20 -
by ,�c'� x_ yGL' r�
C Who is person
known o me or who has produced
as identification.
Notary Public,State of FI
pY i I:MERINE A,K NMAS
Signature of Not (Sea{) F Notary Pubii[ State of etorida,
Commission Num.er: 8r CammlSSion9GG2391104
-= arrLd" rAy Comm.ExpireS Aug 23,I022
Bonded,thragh National Notary MO.
En