HomeMy WebLinkAboutAffidavit Planning & Development Services
- j _ Building& Code Regulation Division
2300 Virginia Avenue
s Fort Pierce, FL 34982
_ -- 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
I, U04qv E. Ro-t, licensed 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 468 F.S.to make such on inspection.
On or about 43/01/'`Aj a I did personally inspect the roof deck nailing
nn (Date)
work at:�a O3 11 h At 9,1 6k' ?tu L2C
(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).
CCC 132(5,7 q
Signature and Seal License #
STATE OF FLORIDA \
COUNTY OF IXAfL-(7� `�
Sw rn to and subscribed before me this y da of � 'Z 20 r 1'
by, u!SL �S '�Ft ho is personally known to m or who has produced
as identification.
Nota c, tate of F r' a
Signature of Notary:
Commission Number: (Seal)
En , KEGAN CRAWFORD
MY COMMISSION to GG205055
��o,� EXPIRES Ociolxr 03.2022