HomeMy WebLinkAboutRoof AffidavitCOUNTY
F L 0 R I D A
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 # 6LC 96b3 _C)Dq'q
1, Robert Donovan licensed as a( )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 S — q -�Q I did personally inspect the roof deck nailing
(Date)
work at: IAQ%jd'' , {
(Job sit ddress)
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).
CCC1330489
Signat e d Seal License #
STATE OF FLORIDA
COUNTY OF Palm Beach
Sworn to and subscribed before me thisday of ffi C" _ 20 j 6
by Robert Donovan Who is personally known to 4e or who has produced
as identification.
Notary Public, State of 9G93408=83���
Signature of Notary:
Comm ssion Number _ ( CHRISTA-LYNSALMONSON
:,; +i My COMMISSION 8 GO 930M
En EXPIRES. Mardi 10. 2024
t' bonded Tlvu !!nW Pub0c WM"Im
%M:) koo 0 1 11 1 qu