HomeMy WebLinkAboutRoof AffidavitPlanning & 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 # 1910-0281
I, Koh Knox licensed as a(n)Contractor* /Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
• Generol, Bu ilding, Residential or Roofing Co ntractor or on y in dividual ce rtified under 468 F.S. to make such an inspection .
On or about 10/11 /19
(Date)
, I did personally inspect the roof deck nailing
work at: 1220 NW Winters Creek Rd
(Job site address)
Based upon that examinati on 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
CCC1331450
License#
STATE OF FLORIDA
COUNTY OF (p\\\{ft .
h. ll#h 2011, Sworn to qnd subscribed before met 1s __ ..,__ ~~~t:!~~:--:-:-:;::-=-
by !no h ~l'\o'( . who is s.-...--.,.-:----r who has produced
as id enti 1ca 10n . ----------
Notary Public, State o~.-: -~
Signature of Notary:~~:...£~+-------
Commission Number: A,£,. 30::l C, '\ :\ (Seal)
En .. <;,., •ii~·-.. LA IKEN GRAC E O'KEEFE
1'i if ("~\ Nota ry Pub li c · State of Flor ida
.:;k'%)._s:i Commi11ion # GG 30 7994
·.:,. o, r,.0 .. · My Comm . Exp1re1 Mar 5, 2023
Bonded through Nati onal Notary A11n .