HomeMy WebLinkAboutRoof Inspection Affidavit 07/17/2020 11:07 FAX IM 001
Planning&Development Services
"= ;' , 'P • V Building&Code Regulation Division
2300 Virginia Avenue
Fort Plerce, FL 34982
-.,.�.�. 772-4622165 or 772-462-2172
Fax:772-462-6443
INSPECTION AFFIDAVIT
Re: Permit# Q
I, Raul Licona — license as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
"General,Building,Residential or Roofing Contractor or any Individual cert fled under 468 F.S.to make such an inspectlon.
0n or about t-\ V-1•aZIC0 ,I did personally inspect the roof deck nal in
(Date) 1l .D`-� •�'`�,
work at: 7106 Deer Park Ave, 1=t. Pierce
(lob 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 most strigent).
• ._ CCC1326690
ignature and Seal License#
STATE OF FLORIDA
COUNTY OF Indian River
Swom to and subscribed before me this 1 ---day of Za?i
by Raul Licon . Who is personally known to me)Dr who has produced
as identi#ic on.
�" JOSE LUIS OATO
Notary Public,State of Florida Notery public•$tatL
f FlorldiCommission x G0580
Signature of Notary: '••, r My Comm.Expires 6,2023
Commission Number: iSe Bonded through National notary Assn.
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