HomeMy WebLinkAboutRooF Affidavit& j%i j
Planning & Development Services
. -110116
1 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: Permitil D -005-053S
1,Dou& ¢ licensed as a(n) ontractor /Engineer/Architect
(Please prin name & circle license type) *FS468 Building Inspector
PM- E)i%v11 d
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to moke such an inspection.
On or about (o3o ao , I did personally inspect the roof deck nailing
(Date)
work at: I%91 Glnarltsyn Wq
(Job site ad(Tress)
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 most strig nt).
Signature and Seal
STATE OF FLORI A -
COUNTY OF +- Luc- I
GLC, 136 5 7 y
License #
76%—
Sworn to and subscribed before me this -3 a day of J VYI' 2020
by IQo01/a% OZO�- Who is personally known to me or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number: I 331
En
(Seal)
, Notary Public State of Flontla
Brandon Smith
B My Commission GG 137433
a pd� Expires 08123/2021