HomeMy WebLinkAboutRoof Affidavitvm - T.)e,,,,4 a
Planning & Development Services
_ Building & Code Regulation Division
2300 Virginia Avenue
w , Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # '^005 '05'1�4
I, 1�buA licensed as a(n Cont a r /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 (� ! lk)1 Q , I did personally inspect the roof deck nailing
(Date)
work at: / V � J- � '' J�,(
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Exis 'ng Building Code Section 708 or the product approval submitted (whichever
is most strigent).
Signature and Seal
STATE OF FLORIDA
COUNTY OF 0
C-c,(—a3-a,,r,--57Lj
License #
Sworn to and subscribed before me this I( day of �l ktJfi 20W
by 1•�X.,?_�1 (7 G Who is personally known to me or who has produced
as I entlficatlo .
Notary Patititsfate of Flo ' a
Signature of Notary:
Commission Number: (Seal)
<�v P�
En _° &� KEGAN CRAWFORD
MY COMMISSION # GG265055
' o., ,,oO EXPIRES October 03, 2022