HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT"'".w« ,, 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 # SLS 7'D06— 0 >l0 0
licensed as a(n)ontracto /Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential or oo mg ontractor or any individual certified under 468 F.S. to make such an inspection.
On or about a ✓ "e 4119-7.0 , I did personally inspect the roof deck nailing
(Date)
work at: l%/)Fw ,Qr vFaz J7e
(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 MS"trigent
Signature and Seal
Gc-i3z 8737
License #
STATE OF FLOR D
COUNTY OF
Swor t nd Wbscribed before me this —Zday of �ot 0 f? 20w
bywt I0 0/ 4 d� Who is personally known to me or who has produced
i t r as identification.
Notary Public, State of F��(
Signature of Notary:
Commission Num '—(0 �j _ _ (Seal)
En
_
`�QlP?Y•?I�,,,,
Joseph Gomez
=
Commission S GG161404
N�
Expires: November 16.2021
n$s
Bonded thru Aaron Notary