HomeMy WebLinkAboutRoof Affidavit From:Pilar Grimaldo Fax:15619354979 To: Fax:(772)462.6443 Page:2 of 2 0911112019 12:53 PM
Planning& Development Services
BuildingCode Regulation Divisionr ;N , ;
.2300 Virginia Avenue
$ ...Fort~Pierce, FL 34982
---- - 772-452-2165 or 772-42-2172
Fax:7727462-644
ROOF INSPECTION AFFIDAVIT
Re: Permit# � ,��— U-J9.
1,SII U-0 , 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 P.S.to make such an inspection.
On or about 9 A i l 1 I did personally inspect the roof deck nailing
(Date) t
work at: (0 (o �X 1*_0 r~�\A.T& , 9 A Sk- 1-14,24,
(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).
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF t—+IL
n
Sworn to and subscribed before me this�_ day of 20-L
byWho is personally known t me or who has produced
as identification,
:'tii�_,!a8•._ MICHELLE SAWYER
Notary Public,State of FI Notary Public-State of Florida
Signature of Notary: �Ky�s`,. Commission#GG 32899
o�t; My Comm,.Expires Sep 22,2020
Commission Number: 1�.01�ed through National Notary Assn.