HomeMy WebLinkAboutRoof Inspection Affidavit Planning&Development Services
" Building&Code Regulation' Division
COUNTY 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re:- Permit#D; -,Oda 3
1,=5c64?� +hraerlicensed as a(n 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 Jam° t3'�oa� I did personally inspect the roof deck nailing
(Date)
work at: 131 �j U A Q"5n 40E , VS L V-t, 3"-3:3
(Job site address)
"Based upon that examinat' ha ete fined the"installation was done according to-the current
edition of the Flo ' xisti din ode Section 708 or the product approval submitted(whichever ,
is most str' ' t)).
Signature and Sea License#
STATE OF FLC7 A
c6UNTY OF
Sworn to and subscribed before me this_�day of Mme' 2
by�u , N_bh cecl 2Fi' Who is personally.know�t tome or who has produced
as identification.
Notary P"ublic,Stat f Oda
Signature of NotaG/K.4`� 1 �-�
Commission Number.Csfs-1Qtxfgy (Seal)
En
IS MARIE MONTELEONE
Notary Public-State of Florida
Commission 4 GG 190497
.:` My Comm.Expires Feb 27.2022
Bonded through National Notary Assn.