HomeMy WebLinkAboutRoof Inspection Affidavit Planning&Development Seivices
Building.&Code.Regulatiow Division
COUNT
2300 Virginia.Avenue
Fort f ierce., FL 34982,
772-462-2165.or 772-462-2172
Fex :772-462=6"3
ROOF WSPECTION.AFFIDAVIT
Re: Permit# 2003-0741'
1, Benjamin Brown; licensed-as a(n)Contractor*/Engineer/Architect
(Please-print name&circle license type)' '�FS468 Building inspector -
*General,80ding,Residential vrRoofingContractor.or any aertifred under468 F.S.to make such an inspection:
On or about t - 1 did personally inspect,fhe roofdeclr-nailing
(Date)
work at: 5702 Shannon Dr•.-Fort.Pierce,.FL34951...
(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•Sectionr708-or the-product approval-submitted,(whichever
is most strigent). `
CCC1331457
Signature and,Seal License#
STATE OF FLORID' -
COUNTY OF.
Sworn o and subscribed before me.thiis .I( day of 3� 20
by &D, who is personally known to me or who has produced
as identification.
Notary Public,State of rida
Signature of.Notary:
Commission Number: (Seal)
En
, � Notary Putiiic Slate of flonGa
enan Atari,Martin
*' My Commission GG 309328
�. Expires 03x0712023.