HomeMy WebLinkAboutAffidavit 08/12/2019 11:06 FAX 2001
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# 1907-0419
IDavid Packard licen§gd 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 468FS.to make such an inspection.
on or about 08/12/2019 , 1 did personally Inspect the roof deck nallina
(Date)
work at: 4950 Dunn Rd. �/� (l10L�
(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).
- .2 JQ CCCA17517
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF St. Lucie
Sworn to and subscribed before me this 12th day of August 20_L9
by David Packard Who is personally known to me or who has produced
as Identification.
Notary Public,State of Florida
Signature of NotarAA J1— —�r� Eli 5TEPHAW P SMITHSeal !ary Puh ic-$tatrof rlari�laCommission Number: ( pmmhsionAGG 139514 Comm.tXPTS5ft2,2021EndthrougFhidoNlAohrrAyyn.