HomeMy WebLinkAboutRoof Inspection Affidavit Planning&Development Services
Building&C' e.�kdgulation Division
2300 Virginia Avenue
Fort.Pierce, FL,34982,
} - - x - s 772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFF16AVIT .
Re: Permit#x W
U i e licensed as a(n)Contractor*/Engineer/Architect
(Please print narfa&circle license type) *FS468 Building Inspector
*General;Building,Residential orRoof ng Contractor or any individual certified under,468 F.S.to make such art inspection.
'On or ab'ouf "6 11 J pt o
I did personally inspect the,roof deck nailinj&
(Date):'
Work at: T7 Z 1 e veler.$ /„J4k ,!
(Job site address):
Based upon that:examination 1 have-determined the:installation was done according to the current
edition of the Florida Existing Building Codd-Section 708 or`th,el product approval submittted (whichever
is
. _ GCc-�32117:D
Signature.and 5e License:#
STATE'OF FLo f '�•�n� ,,-� A�
COUNTY OF
S to.a libscr e eUo.rr � e this *h.day of _044 ?off
bOlt . Who is Qersonally known tome or.who:has produced'
as identification.
Notary Public,State of Fto
Signaturetof Notary:- �
-Commission Number.. BRANDY MOORI:
=,Notary Public-State of Florida
Commission,#GG 102839,
En
'� My Commission Expiies
4� p May 08,2021