HomeMy WebLinkAboutRoof AffidavitPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FIL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT JUN 2 6 7.020
LST,t a County. Permitting
Re: Permit # t)03(0 ^ �
I,, )blti Qwy,hr licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about lQ Z b I did personally inspect the roof deck nailing
( ate)
work at: aq 0 Z, CCUNov" C it e-eJc- L"Pr
(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 most5trigent).
QW1 % ( A-' r' " AtJ'
S'gnature and Seal
STATE OF FLORIDA
COUNTY OF Sk • t VO\C
GO ? /
License #
Sworn to and subscribed before me this day of -,T t) h k 20�Qt
by--T6Nn., c �,b v, . Who is.personally known to me or who has produced
V'— b t— as identification.
Notary Public, Stale —off Florida
Signatuce-0fNOtary pEgNNpMMIEGNENa
Commission Number: r MEY%COMM
000-222-4=78.2020
En BorgMT UNoWY-PIRES
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