HomeMy WebLinkAboutRoof Affidavit Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
o Fort Pierce, FL 34982
-- . . ........... 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# SCC
II.J'Of`el'% er"`/�licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type)L«i'72 'F *FS468 Building Inspector
General,Building,Residential o Roofing Contract t or any individual certified under 468 F.S.to make such an inspection.
On or about2 zf 2� I did personally inspect the roof deck nailing
(Date)
work at: 5-72`6 %3/SIA �4� ti' T7'
(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).
Si nature and Seal License#
STATE OF FLORIDA . g
COUNTYOF ealm 1lCc��4�
Sworn to and subscribed before me this 2ck day of I•e 6 rVa r y 202 0
by —i o.Sc h Ctem en tS Who is personally known to me or who has produced
a 55 Qo r as identification.
Notary Public,State of Florida
Signature of Notary: BEN DEPALMO
t =�~��� Notary Public-state of Florida
Commission Number: Ch G l 3' gG (S lj. :�`
Commission#GG 193186
9rFOc F\ �' MY Comm.Expires Mar 7,2022
En "Bonded through National Notary Assn.
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