HomeMy WebLinkAboutRoof Affidavit (2)Planning & Development Services
Building & Code Regulation Division
COUNTY 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # 100
I, C-c1;()iNMb S4141 ,licensed as a(nContracto */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 07. 067.20210 , I did personally inspect the roof deck nailing
(Date)
work at: 1529 NUI SW EKTM� 61,0
(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 most str
gnature and
STATE OF FLORIDA
COUNTY OF I44/I7-iAj
License #
Sworn to and subscribed before me this 06 day of JtZZ 14 20 `LG
by (til.116T L 1C � r I Who is personally knowntom he wro wro o has produced
AU."f„ti'L 61 as identification.
Notary Public, State of Florida �
Signature of Notary: Sp�"
Commission Number: 3 � 6 9 (Seal)
En
E
Public State of Florida Y Cajachaguammission GG 935568s 12/01/2023