HomeMy WebLinkAboutRoof Affidavit Planning & Development Services
f' 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
Re: Permit# 2003-0431
1� Mauricio orellana , licensed as a(n)Contractor*/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 3/18/20 , 1 did personally inspect the roof deck nailing
(Date)
work at: 5812 Pinetree dr Fort pierce fl 34953
(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).
CCC- 1330623
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF st lucie.
Swor t and subscribed bef re me this i day of ( �C 20 20
by �'Atc `y �"��` Who is personally known to me or who has produced
�y •� as iden ' ication. �,0�91001i9f10!>p
Notary Public,State of Flor' a ��a\` P\'SRI N //i���
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Signature of Notary: •o��gER I
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Commission Number: q (Seal)
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