HomeMy WebLinkAboutRoof inspection aff plannlnB&4"Development ioSeivIces
- —W Building&Code Regulatn Division �3
=*' pOVi'rgimapvenue'e � ? t
4982'
-� .Fort Pierce,FL 3 �
• - 772-462=216S or.772=462-2172
. "Pax:7.7- 467-6443
ROOF INSPECTION•AFFIDAVI't
Re Permit# �
'GA'Tt EIS Ilcensed as a( `Contractor* Engineer/Architect a
t+ *FS468'Bbilding Inspector•
(Piease print name&circle license type)
*Genera1,bullding,Residential dr Roofing Contractor or any lndividuol certified,under 468'F S,to make such an tnspecUan
"t
On�or about w j7 i°didtpeesonally inspectthe roof deck nalltn� -
(Date
.work at:
-7 3` �
Io S 4,YU q,
(Jobs to address)
"
Based upon that'examination I`have determined the mstallation$was:done according to the curter►t'
edition of the Florida.Existing Building Code Secdo`n 708 or the'produck approval submitted (whichever
is most strigent). '
eC13�3��az
signature":and Seal; License'#
m
stATE OULORI t
cOUNfy OF '
Sworn to and subscribed before me this, 3 day of "J l Y 20 ZO
by HEATH E gq Who is' r -ary 75 o me or who'has produced
as,idenfification
Notary public,State'bf Florida
`Signature of Notary
`\`�agUitiruryy�
ComFnission Number:
STAY(p9ii��� '
En AMA
s ' #GG3462'A
`
ezQ..:
\ p „
24
kIt
I
'I
l