HomeMy WebLinkAboutRoof Affidavit 22.11.2019 02:33 PM 8637637662 P 1
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#_ 22
1. , licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *F5468 Building Inspector
*General,Building,Res/dentiol or Roof Intg Contractor or any Individual certltled under 468 F.S.to make such an inspection.
On or about (4-�� I did personally inspect the roof deck_nailine
(Date)
work at:— J AAenc)t'n e'1
,p (.lob site address)
n t
Based upoa exarntnatl I have Jettrm2ne5d the installation was done according to the current
edition of the Florida Existing Building Code Section 611 or the product approval submitted (whichever is
most strigent).
d3O �
W. -/ 0 4619.2n
Signature and Seal license#
STATE OF FLORIDA
COUNTY OF Oker
bwor and su�ibeplbefore me this�O y of V L�� 2p�Q
by-'-,J 0 � Who Is personally known to me or who has produced
as entfflcation.
Notary Public,State of FI a �)- c.(-,IQ
Signature of Not
Commission Number: (Seal)
En 01/19/2011
HEA114EREDWARDSON
+, +. MY COMM1881ON#GG 215185
o= EXPIRES:May 21,2022
� O$t ' Bonded Inn:Notary Public uixtorwntere