HomeMy WebLinkAboutRenail Affidavit 6701 Citrus Pk Blvd FPN�,..
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 # 2c) os-- eye%
I,&Ctul Fo l_ J licensed as a( Contractor Engineer/Architect
(Please print name & circle license type *FS458 Building Inspector
*General, Building, Residential or Roofing Contractor or any indlMijol certified under 458 F.S, to make such an inspection.
On or about 1 I did personally inspect the roof deck nailin
(Da e)
work at: Ct i t)-5 r/ f
(JoY 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 a the product approval submitted (whichever
is most strigent).
Signature nd Seal
STATE OF FLORIDA
COUNTYOF . s [Qujcv—L
License #
—V
Sworn to and subscribed before me this i day of , Un 20,
by "1 Who is personally known to me or who has produced
as identi r,cati
Notary Public, State of Florida
Signature of Notary:
Commission Number, (Seal)
En i ,Xo; r i - 8R117k Lifq
( ralY CC3isriiVi;GSlON ## GG090^:2 �
. •` �u, XMIRIES Apr404, 2JQ1