HomeMy WebLinkAboutRoof AffidavitPlanning & 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 tt t G Z 003 — Oc/ 6
I,&ftl-D uvv67, , 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 on inspection.
On or about yf7i46H i Z
hPW I did personally inspect the roof deck nailing
(Date)
work at: L77' �l'yp 5i'�'a2 j2 d A2 ! i G u��,CG
T
(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).
/� )/./-, � 1, � 1 6cc/ 3z 07.3%
Signature and Seal License It
STATE OF FLORIDA
COUNTY OF Nby-c1+ S` ,
Sworn to and subscribed before me this _d3r� day of(�"C"—�- 20
by P i�+ i 0 Int 2Y1uZ._, Who is personally known to me or who has produced
as identification.
Notary Public, State of Flori
Signature of Notary:
Commission Number: Gni ' 1 (Seal)
En
Y,L LIZETTE SOLOMON
(;114
MY COMMISSION #GG211369EXPIRES: APR 25, 2022
Bonded through 1st State Insurance