HomeMy WebLinkAboutAffidavit��•>`` N..:� '' _�� 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#Z003.029S
I sf Roe , licensed as a(n)Contractor*/Engineer/Architect
(PleasA 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 3/2-1 12-ozo , I did personally inspect the roof deck nailing
(Date)
work at:2,1q( Keen 9,8 T?I ea
(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).
tz( z
Signature and Seal
STATE OF FLORIDA r
COU(�M� ��
Y OF !
CCC 132c0�j Ll
License #
Swo n to and subscribed before me this 1 day of ,S-C. 20�
by f 4=n % Who is pefsonally known -tame -or who has produced
as identification.
Notary Public, SUte of Elc
Signature of Notary:
Commission Number: C
01
E n ` 4�Y P4
,� � KEGAN CRAWFORD
MY COMMISSION # GG265055
`.. C111 EXPIRES October 03. 2022