HomeMy WebLinkAboutROOF INSP AFFIDAVIT PERMIT #2004-0114 ROSSMELLRe: Permit # 2004-0114
BILL POLLY , licensed as a( Contractor /Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual eertified under 468 F.5. to make such an inspection.
On or about 122 I did personally inspect the roof deck nailing
(bate)
work at: 701 GEORGES RD., FT PIERCE, FL 34951
(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,Z, nt).
ignature and Seal
STATE OF FLORIDA ,
COUNTY OF` (&RA
CM 326072
License #
Sworn to and su cribed before me this day of I- i l 20
by �� � l Who is personal wn to me or who has produced
as identification.
Notary Public, State of Flo ' II
Signature of Notary: 10{� Ilt Ct' V�i1
Commission Number: Z-9 Iq 6 Z (Seal)
Ln
%:{µr°Os'.
MICHELLE KIRCHNER
Notary Public - state of Florida
a if.
commission # GG 253992
My Comm, Expires Oct 19, 2022