HomeMy WebLinkAboutCosta Roof Inspection AffadavitRe: Permit # =�? p A C>
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
624" Incensed as a(n)Contractor*/EngineerJprchitect
(Please print name & circle license type) *FS468 Building Inspector
*Gxeneral, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about -5-113I'R O 1 did personally inspect the roof deck nailine
(Date)
work at: geo
(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 rigentj /
ignature and Seal License #
STATE OF FLORA r ���
COUNTY OF V
Swo n to and subscribed before me this 1 � day of _ c 20-7G
by Who is ovally know to me or who has produced
- ---� as identi
Notary Public, State of FI rid
Signature of Notary: LLGGII
AA
Commission Number: 41G5
En
(sea[)
190*6 Notary Public State of Flwida
Andrew G Reidy
My GOmmission GG 347651
Mw Expires06J23i2023