HomeMy WebLinkAboutRoof Inspec Affidavit"COUNTY
L Q R II D A
Re: Permit # 20D f- d 1 4S
Planning & 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
I, A'I-VAr A✓LK- licensed as a( 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 Iy (Date) roof I did personally inspect the of deck nailins;
work at: 1-e-% MIS 26- Ped vm (;t i-ta 3.-ggo .
(Job site address)
Based upon that examination I have determined the installation was done according to the current
Vedition of the Florida Existing Building Code Section 708 or the product approval submitted (whichever
e nt)..
1. ig CC(-02-94S
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF VIU'tdO�
Sworn to and subscribed before me this l I rda of L&I 20
soby�u r 1W Who is tonally know 2�
me or who has produced
as identification. --
Notary Public, State of Flor' a,
Signature of Notary: L � z
Commission Number:
En
(Seal)
,, WILLIAM KENNEDY
:Notary Public -State of Florida
'= Commission # GG 352176
�noP`' MY Commission Expires
July 04, 2023