HomeMy WebLinkAboutScan_0051Planning & Development Services
Building & Code Regulation Division
COUNT 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # 20V?-- 0 -12 -to
EDWARD LECNNER ' 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 I did personally inspect the roof deck nailing
(DAte)
work at: 1920 ROYAL PALM
(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),
CCC1331308
Signature and Seal License #
STATE OF FLORIDA _
COUNTY OF=AIAZIAmoi'
Sworn to and subscribed before me this day of A/"K J IL 20 -Q -c?
byWho is personally known to me or who has produced
as identification.
Notary Public, State of Flor'
Signature of Notary:
Commission Number:0 : (seal)
En
o' d•fMary R���€�c State of Florida
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