HomeMy WebLinkAboutRoof Inspection AffadavitPlanning & 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 # s� C 0 L+ 2C)
I, A�,+u-o �e�,,j'o, licensed as a(n Contracto /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 OSS ,�, /Z02-0 , I did personally inspect the roof deck nailing
(Date)
work at: 1 q qj LpL ,,de— Aije-1 a,� P,t,,.ca I k-
(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 most strigent).
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF
Sworn to and subls�ribed before me this �z: -- day of ou 20
by (4 t(- Who is personally known to me or who has produced
f( i.`ty` V' j as identification.
Notary Public, State of Florida
Signature of Notary: , —4��
Commission Number: C C (Seal)
En
=�,091 P`,4r Notary Public State of Florida
Elizabeth Roberts
My Commission GG 937056
N~?
nd Expires 12/04/2023
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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 # s� C 0 L+ 2C)
I, A�,+u-o �e�,,j'o, licensed as a(n Contracto /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 OSS ,�, /Z02-0 , I did personally inspect the roof deck nailing
(Date)
work at: 1 q qj LpL ,,de— Aije-1 a,� P,t,,.ca I k-
(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 most strigent).
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF
Sworn to and subls�ribed before me this �z: -- day of ou 20
by (4 t(- Who is personally known to me or who has produced
f( i.`ty` V' j as identification.
Notary Public, State of Florida
Signature of Notary: , —4��
Commission Number: C C (Seal)
En
=�,091 P`,4r Notary Public State of Florida
Elizabeth Roberts
My Commission GG 937056
N~?
nd Expires 12/04/2023
uF