HomeMy WebLinkAboutRoof AffidavitPlanning & Development Services
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: Permit #�Lc Uc ` ^0 13
IHobert Donovan , licensed as a(n ontractor /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 _ ` 0 — Z.V , I did personally inspect the roof deck nailing
(Date)
work at:
k15 Ne>
(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 strigent).
Signa u and Seal
CCC1330489
License #
STATE OF FLORIDA
COUNTY OF Palm Beach
Sworn to and subscribed before me this dayof O
Robert Donovan— 20
by Who is persona Ily'icnown to me or who has produced
as identification.
Notary Public, State LofHoLrilda
Signature of Notary:
commission Number: GG930883
En
CNRISTA-LYN SALMONSONW
MY COMMISSION it GG 930M
EXPIRES: March 10. 2024
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