HomeMy WebLinkAboutRoof Inspection Affidavit � c0
Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
COUNTY Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#/6/0&-0((/S
I,�Gshuc - S hVw�61censed as a( )Contractor* ngineer/Architect
(Please print name&circle license typ *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 �� `7 ' �� , I did personally inspect the roof deck nailing
(Date) -�
work at: 5gc)5 SL'#64'q �111y-1 r-T �- C YW F& 3vf,?Z
site ddress)
Based upon that examin have deter Ined the installation was done according to the.current
edition of the F a Existi uilding de Section 708 or the product approval submitted (whichever
is most s ent).
L�C'
(gnat r •rid Sea License#
STATE OF FLOA DA
COUNTY OF. ' i
Sworn to and subscribed before me this 9 day of 20-/
by SOSi�t r;
" ,.
'� S(uhf QCA4e . Who is personally known A me or who has produced
as identification.
Notary Public,Sta f I rida �f
Signature of NotajA
Commission Number:�ik I q6)7 (Seal)
En
=p1vs�YPo�f- LISA MARIE MONTELEONE
Notary Public-State of Florida
Commission=GG190497
"+''.i,'•OFMy Comm.Expires Feb 27.2022
! Bonded through National Notary Assn.