HomeMy WebLinkAboutAffidavit - 8008 Lockwood Dr[`1 11A1/�1 r- f e%Tmw w w -W-e-
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 # 0A-7—ag
1,1? ,T) YAK sed as 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 inspec
On or about °' r/r I did personally inspect the roof deck nailing
(Date)oo�
(,
work at:
C `
(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). XC13 Oq 9
r
Signat d Seal
License #
STATE OF FLO A , (� „ _ Cl
COUNTY OF �(�
Sworn o and subscribed before me this day of
by 9�QX} Who is personally known to me or who has produced
as identification.
Notary Public, State
Signature of Notary
Commission Numb
En
of Flo a ?y CHRISTA-LYN SALMONSON
*: MY COMMISSION 9 GG 930883
EXPIRES: March 10, 2024
er: r1
''rFOF 2"' Bonded Thru Notary Public Underwriters