HomeMy WebLinkAboutRoof inspection affidavitPlanning & Development Services
Building & Code Regulation Division
1 611 h • 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit #J06 ` 0517
1,7565h(Aa 'Y r0! licensed as a(n ontractor*/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 5' /1- �y �� , I did personally inspect the roof deck nailing
(Date)
work at: 75� �L� �1�r7C�l _DA, pt• 14. ZC.i e ?R, 3�I �3
(Job site address)
Based upon that exami �edet rmined the installation was done according to the current
edition of the FI a Existi uildIng 90de Section 708 or the product approval submitted (whichever
is most sunt).
nature and Seaf- License #
STATE OF FLORIDA
COUNTYORSfr LLI41f
Sworn to and subscribed before me this _ day of M a k 20;�Q
by�*jShUO (_Wf0P...d90'' . who is personally known to me or who has produced
as identification.
Notary Public, Starida
Signature of Nota
Commission Number: (Seal)
En
LISA MARIE MONTELEONE
iiP. s Notary Public -State of Florida
er Commission # GG 190497
`4',�or r� ?: My Comm. Expires Feb 27, 2022
"Bonded through National Notary Assn.