HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services -
Building& Code Re ulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
RECENED
ROOF INSPECTION AFFIDAVIT
10 1.2 2019
permitting Departmerr
t ucte C060ty
Re: Permit it
I,01 ckctl �`�' , licensed as (n)Contracto /Engineer/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 1 11 I did personally inspect the roof deck nailing
(Date)
work at: lI9 eo eU
(Job site address)
Based upon that examination I have,determined the installation was done according to the current]
edition of t F i E i ting Building Code Section 708 or the product approval submitted (whichever
is
Signature and Seal License#
i
STATE OF FLO +IDA
COUNTY OF
i
Sworn to and subscribed before me this_ day of 20 �
by�((k,e�Q ��� Who is personally known to me or who has produced
as identification.
Notary Public,State of Florid
Signature of Notary:
cl-
Commission Number:
,�iPw�d�m�;, ELLEN VAUGHN
En ;State of Florida-Notary Public
y®� Commission # GG 270079
My Commission Expires
October 22, 2022
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