HomeMy WebLinkAboutswaringen affidavit roof inspect.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
Re: Permit # J 0 0';� - V w L
I, xjVJYl uSS , licensed as a(ontracto */Engineer/Architect
(Please print name & circle license typ *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 10'--Ua0 I did personally inspect the roof deck nailing
(Date)
workat: M NQA)ejo�fture ��e,V skn EL'L ��fZ
(lob 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 strigg f
��l
S nature and Seal
STATE OFtar is
COUNTY OFF i
CCc -133 cg uo
License #
Swor to nd subscrib befo e e this � day of Iy l G rl 1 120 � C)
by _'% �)� � Who is personally knowp to me or who has produced
as identification.
-,Ys A94. Notary Public State of Flonde
Deena M Sabella
My Commission GG 229100
an, Expires b&14/2022
Notary Public, Statef o iia_ - _�
Signature of Notary: J/JjJy)
Commission Number (Seal)
En