HomeMy WebLinkAboutRoof Affidavit Sep 1619,08:08a p.1
WHIMMIl Planning&Development Services
LSTIU- CIE , Building& Code Regulation Division
COUNTY 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
To-zide Winds Roofing, Inc
P.O. Box 13208
Re: Permit# 'y�j Fort Pierce, FL 34979
(772)466-9420
I, �i9Lc�licensed )s a(n Contractor* ng]neer/Architect
(Please print name&circle license type() *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certlfred under 458 F.S.to make such an inspection.
On or about LAI I U I !�� , I did personally inspect the roof deck nailing
(Date)
work at: L2 N+h A t
(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 s rigefit).
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF
Swornto and subscribed before me this I day of !?�'�Y1'9` 20�
�/�
by Y'�i.L C'-N1,CL;LA .Ali ILC ✓ Who isrsona y sn Meorwho has produced
as identification.
Notary Public,State of FI ridl
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el�ialyreW)fkdn
Signature of Notary: Z1 {.. V NOTARYACommission Number 6 -i{ c�5fie (Seal) STAT u$LIC
� Co OFFLORIDA
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