HomeMy WebLinkAboutRoof Inspection Affidavit7OUNT�:
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Re: Permit ## 2001-0655
Planning & Development Services
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
1 MAURIC10 ORELLANA licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*Generoi, Building, Residential or Roofing Contractor or any individual certified under 458F.S. to make such an inspection.
Cn or about 01/30/2020 1 did personally inspect the roof deck nailing
(Date)
work at: 5700 SUNSET BLVD FORT PIERCE FL 34982
(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).
Signature and Seal
STATE OF FLORIDA
COUNTY OF LQ-'e
CCC-1330623
License #
Sworn to and subscribed before me this _ 3 6 day of c� r 7vi sail 20 2 r:
by cv,; "[ tt Lrr C Who is personally known to me or who has produced
Ott s �- < as identim6lion.
Notary Public, State of
Signature of Notary:_
Commission Number:
En