HomeMy WebLinkAboutRoof Inspection Affidavit 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 M-
Re:
ROOF INSPECTION AFFIDAVIT Permit#
l� TODD ADDERLY , licensed as a(n)Contra ctor*/Enginee r/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 an inspection.
On or about 16— ( _ IC , I did personally inspect the roof deck nailing
(Date)
work at: 5003 EL NUEVA AVE
(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 mo strigent).
o-r _ CCC 1327886
Signature a d eal License#
STATE OF FLORIDA
COUNTY OF BROWARD /
Sworn to and subscribed before me this ) r day of O�l 20-A
by Who is personally known to me or who has produced
as identification.
Notary Public,State of Fla
Signature of Notary: n ��
Commission Number: (Seal)
En
GAIL ROBINSON
:ap' Vie:
_ MY COMMISSION#FF927240
�?^ EXPIRES October 14,2019
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