HomeMy WebLinkAboutAffidavits (dragged) 5.pdfPlanning & 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 #
1, _, licensed as a4ontractor* Engineer/Architect
'
(Please pri name & circle license type) *FS468 Building Inspector
t General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an Inspection.
On or about �J , 1 did personally inspect the roof deck nailing
(Date) ,
work at. 7 9(,1 A �a�� zoU� O,tA� Uva PS
(Job site address)
Based upon that examination 1 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
N.
STATE OF FLORIDA LA
COUN9'Y OF i�'l�7ZA)
CCfC IID, L5 I ll_�
License #
Sworn to and subscribed bef re me this �l day of / _V-riv 20 '2a
by //�'"��_ �-� '� ePs wn o or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number: (Seal)
s
En =KEGANCRAWFORD
ORDG265055
3, 2022