HomeMy WebLinkAboutRoof Inspection Affidavit a .
ll, 1tltSion
2300 Viijin 6 Ave�tea�
Fort Pierce, FL 34982
w 772-462-2165 or 7'1,2-452-2172
Fax:772-452-644
RUQI= INSPECTION AFi IC?1il1/IT �_. rz
NOV 1
• � ST. Lucie Cra
Re. Perrin# -�C�--till -D05'y Unty,permittir g ,
1,
licensed as {n Contractor'/Engineer/Architect
( lease print hame&circle license typed w R:;:. *F'S468 Building inspector
'Genera;8tlilding;Residential orRoafing Contractior,ar any individual terrified uadet 46a F.S.io make such on inspertican;
On or about` I -1 '- 1$1 q �,°i did personally inspect,the roof deck nailing
(Date)
work-at: !Z 6 S 1NgIA-br/_�2J 1` .AC. Sl ,- - 99157
: Pob,site address)
Based uponthatexamination i.have determined the installation, lane according to Chef current
edition of the Florida Existing Building Code Section 708 or the product approval submitted.(whichever
Sig-n�atulre and Seal License,#
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this day of
by D,—?Vid C4Who is personally known to me or who has produced
as identification.
Notary Public,State of Flori
Signature of #otary:,
Commission Number:
En .4Ai. r
RINWRiE SHPIRUK
?a' Notary Public Suite of Florida
Commlision I GG 223306
Ay Comm,EXOM bfay 30,2912
""r Bonded throupllliitfMI,1t taty Agin,