HomeMy WebLinkAboutRoof Affidavit Clydesdale.pdf
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#
I 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 W-5ZZ- -o , I did personally inspect the roof deck nailing
(Date)
work at: 5949 Clydesdale Lane Fort Pierce FI 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).
U , r
2 CCC-1330623
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF st Lucie
Sworn to and subscribed efor�j a this day of 20
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