HomeMy WebLinkAboutRoof Inspection Affidavit O 10/16/2019 6:31 AM 17724947692 ->17724626443 pg 1 of 2
Manning&Development Services �E �
Building&Code Regulation Division
C 61p19
2300 Virginia Avenue
Fort Pierce,Fl.34982 oeQanmv
772-462-2165 Or 772-462-2172 Qe St.�06e
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# SLC-lq&DD2
1, CIACt GeJ 6� 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 cerWed under 468 FS. an inspection.
On or about 12- ,I did personally inspect the of deck nailin
(Date)
work at:25h-G. 4 nV4n 2L._ ..� le-M'.
(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).
gnat an a License#
h
4
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this f fL(' 20j j
by . Who' personally known to r who has produced
as ide
Notagr Public,State of Flori
Signature of Notary: --
Commisslon Number: w ( i DANIELLE SPEAK
,Siete of Ftarida-Alotary Publi
• - commission#(3G 21. 94
En My commission Expires
May 18,z0 2
I
I