HomeMy WebLinkAboutRoof Inspection AffidavitPlanning & Development Services
O
J" . Building & Code Regulation Division
jj
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit #&Oy- J&30
f,Sp5h>J.QS(,V\ro &,l censed 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 I did personally inspect the roof deck nailing
(Date)
work at: �91(C� l� c�t� r'� i1rC,�2 f?SC. (-- 3 s
(Job site address)
Based upon that exami e�ttinecl the installation was done according to the current
edition of the FI a Existi lldin Section 708 or the product approval submitted (Whichever
is most stmt).
0
Signature and Seal License #
STATE OF FL RDA
COUNTY OF
Sworn to and subscr'bed before me this � day of MCkW 20,)
byWho is personally known tQne or who has produced
as identification.
Notary Public, Sta f o.' a
Signature of Not 'cj
Commission Number:�'iG-fgO -cj7 (Seal)
En
LISA MARIE MONTELEONE
Notary Public - State of Florida
Commission # GG 190497
MY Comm. Expires Feb 27, 2022
bonded through National Notary Assn,