HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
='` ( ( � Building& Code Regulation Division
1 P
2300 Virginia Avenue
COUNTIF
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# I ( 07. V
I, A r-�vvo "nggicensed as a(n), ontractor /Engineer/Architect
(Please print name&,circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor r any individual certified under 468 F.S.to make such an inspection.
On or about I did personally inspect the roof deck nailing
(Date)
work at: ZI ON C, C3 Ra.+ Puce. ,t, 3y a�7
(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
is most strigent).
CC 0S3-L039
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF 6(–c1-e—
Sworn to and subscribed before me this �� day of U/ 20
by r�uv-o 12,U4&04;0 Who is personally known time or who has produced
rL. as identification.
Notary Public,State of-Florida
Signature of Notary: `••�• "'P'�m.,, Lauren Mata
Commission Number: I1 / (Seal) �,-
"►�/—r r—�— y iState of Florida
mission Expires 06t2 12021
En ��i; ;�� My
PF
Commission No.GG 117457