HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
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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 RECEIVED
JAN 2 3.1020
Permitting Department,
Re: Permit# 47 ® " 0 5 7 T/ qt: Lut12 Count-
I, �'oJk� t' PuNt"Jicensed as a( Contra /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 I did personally inspect the roof deck nailing
(Dai)
=; work at: E&33j JZyfevL4-'F&•_ 91M!b21
.(Job site address)
used upon that examination I have determined the installation was done according to the current
e` ion of the Florida Existing-Building.Code Section 708 or the.product approval submitted (whichever
is mkst strigent).
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF
rk
Sworn to and subscribed before me this 1 day of A%l ;1 ar i 20_U
try Who is personally known to me or who has produced
rwe 1dZY1, Q� as identi fication.
Notary Public,State of rice ,
Signature of Notary:
Commission Number: (Seal)
En ,.;p�o��•,, LIZETTE GONZALEZ
-,,;,State of Florida-Notary Public
s�
commission N GG 245192 .
• � %,��``o��,� My Commission Expires
August 02, 2022