HomeMy WebLinkAboutRoof Inspection Affidavit10
Planning & Development Services
-v - Building & Code Regulation Division
w
2300 Virginia Avenue
r4.Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax; 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit #�.W' - o341
0
I, E Rq-e-, licensed as a(n)Contractor*/Engineer/Architect
(Plea4 print name & circle license type) *FS468 Building Inspector
'General, Building, Residential or Roofing Contractor or any individual certified under 458 F.S. to make such on inspection.
On or about 1-- 2. 2,0 2, 0 , l did personally inspect the roof deck nailing
(Date)
work at: � I I Sunb4sff t)(-
(job site address)
Based upon that examination 1 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).
Signature and Seal
STATE OF FLORIDA
COUN'i'Y OF jt'o.:apTZ^�
CC v-3 2, (A;*::;0 -5 1 -1
License #
078 Sworn to and subscribed before me this day of "&--( 20
by ho is pe�sonall known o m or who has produced
as identification.
Notary Public, State of
Signature of Notary:
Commission Number: S44 (Seal)
RE
N CRAWFORDEnMISSION # GG265055S: October 03, 2022